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What is your ZIP Code?
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What is your ZIP Code?
Do You Own Your Home
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Yes
No
Average Monthly Electric Bill
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$0-50
$51-100
$101-150
$151-200
$201-250
$251-300
$301-350
$351-400
$401-450
$451-500
$501-550
$551-600
$601-650
$651-700
$701-750
$751-800
$801+
I'm not sure
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First Name
Last Name
Phone
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