Washington DC Energy Pilot Program intake form

Your Title*

Owner, CEO, CFO

Company*

Name*

First Last

Mobile Phone of building owner*

Is your Mobile connected to any of the following*

Signal App (please download)

Viber

Skype

Zoom

• I'm NOT Connected to these Communications

We use this as a backup to emails not getting through or going to spam

Email*

Enter Email Confirm Email

Please use your own company email account not a relay connection with Gmail.com or use a protonmail.com account. Sorry We can not respond to the following public email accounts as they are captured and filtered by 3rd party companies and are no longer confidential or safe: No Gmail.com, Hotmail.com, Live.com, outlook.com, aol.com, prodigy.net, att.net or msn.com email accounts. Please understand that these are all public email accounts and are no longer confidential or safe for business or private purposes.

Company Website*

Your Linkedin or Facebook Profile*

If you have no profile please type Yahoo.com

Building Physical Address*

Street Address Address Line 2 City State ZIP Code

This is the building you want to use for the Energy Pilot Program

How many square feet are available for the Energy Pilot Program?*

3,500 sq ft

4,500 sq ft

7,000 sq ft

10,000 sq ft

Mark all that are available, only one will be used

How much is the building valued at currently?*

How much Equity is in the building after any loans?*

Put a percentage amount here like: 15% or 20%

Do you have other buildings that could qualify for the Energy Pilot Program?*

Yes I have additional buildings

No additional buildings

Please attach the last 12 months of your energy bill for the entire building

Max. file size: 120 MB.

12 months of statement as a PDF doc

We need a running total kWh energy used by all Tenants per month, ideally per Year*

If the building is metered for tenants then we need a running total energy used per month ideally per Year in kWh. Please ask your utility company for this info, stating it's needed for your backup generators.

Please choose the Ideal locations for our Datacenter*

Main floor of building with loading docks

Garage area that can be custom built

Outside of building in parking area custom built

Outside of building in back by dumpsters custom built

Choose all that will work for your building

Best Time to call you

:

Who referred you to us?*

Please upload a photo of the exterior of the building

Max. file size: 120 MB.

Please upload a photo of the space

Max. file size: 120 MB.

Please read the notice below

Please WHITE LIST our email address: contact (AT) nextgenlivinghomes.com and nextgenusa (AT) proton.me. We can not guarantee that you will receive a copy of this email due to NEW restrictions by 3rd party public email accounts now BLOCKING emails from unknown contacts that have a link in these public email accounts. 3rd party email accounts like: Gmail.com, Hotmail.com, Live.com, outlook.com, aol.com, prodigy.net, att.net or msn.com will probably block your email account from receiving any emails from us. Please understand that these are all public email accounts and are no longer confidential or safe for business or private purposes.

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Our Energy Pilot Program is by invitation only to qualified building owners in the Washington DC area only. If you’ve been invited here please submit all the information possible about your building. We will contact you by phone after a quick evaluation. Thank you