What type of home do you have? *
Single Family Home
Condominium
Apartment
How many units in your building?
1
2
3
4
5+
Do you own or rent? *
Own
Rent
How would you like to be notified? *
SMS / Text Email Phone
What is your household income?
8 Person, Income under $101,120 Seven Person Household - Income Less Than $90,840 Six Person Household - Income Less Than $80,560 Five Person Household - Income Less Than $70,280 Four Person Household - Income Less Than $60.000 Three Person Household - Income Less Than $49,720 Two Person Household - Income Less Than $39,440 Single Person Household - Income Less Than $29,160 None of these apply
How did you hear about this program?
Community Event Direct Mail Door Hanger Email Friend/Family Online Ad UPPCO Program UPPCO Representative
