Geo-Thermal Quote

Basic Information

Home Phone ( ) -
Work Phone ( ) -
Street Address
Zip Code -
How did you hear of us?

Home Information

New/Exisiting Home
New Construction    Existing Home
Home Style
Colonial Cape Farmhouse
Victorian Contemporary European
Ranch Other(specify style) 
Multi Level
Approximate square footage of heated space sq.
Number of bedrooms
Number of bathrooms
Thickness of Walls: 2x4    2x6
Types of Windows:
Insulation Levels: (R Values, etc.)
How Many Amp Service?

For Existing Home

Type of Current Heating:
Oil Fired    Gas   
Electric Other
Do You Currently Have Central Air: Yes     No
Existing Duct Work? Yes     No
What size?
Do you have or would like separate zones? Yes     No
Have Well and Septic? Yes     No

Site Information

Size of Lot:
Septic Location:
Is there room to drill a well on site? Yes     No
Is a site plan available? Yes     No
Time Frame?
Do you have house plans?
List here any other information you may have
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