PROPOSAL REQUEST FORM
Please complete the following form.
Thank you for your request.
* Required Field
*
Your Name:
*
Email:
*
Property Name:
*
Address:
*
City:
*
State:
*
Zip Code:
*
Daytime Phone:
Evening Phone:
Cell Phone:
*
No. buildings:
*
No. Apts with:
1 bathroom:
1.5 bathrooms:
2 bathrooms:
2.5 bathrooms:
Please provide the cost of utilities you wish to recover:
Water/Sewer
Gas
Electric
Annual Cost:
Utility Rate:
Is there a hot water heater in every unit?
Yes
No
Does each unit have main water shutoff(s)?
Yes
No
Does each unit have a clothes washer?
Yes
No
Is the property heated with a central boiler?
Yes
No
Is the property cooled with a central chiller?
Yes
No
Will you curtail utility use for non-payment?
Yes
No
Add'l Comments:
