Quote Request


If you are interested in obtaining a quote for your business, please complete the form below and click the submit button to send via email. If you would prefer to print the form, answer the questions and click the print button on you browser. You may send the form to us via fax (850-438-2785) or via mail at Global Energy Alliance, Inc. Attn: Quote, 16 West LaRua Street, Pensacola, FL, USA, 32501

Section 1: Client Data

 

 

Organization Name

Contact Name

Address

City

State

Postal Code

Country

Phone Number

Fax Number

Email

   

Section 2: Business Data

   

Type of Business

Hours of Operation
Days per Week
Building Size (units or square feet)
Occupancy  
 
   
   

Section 3: System Interest

   

Water Heating

Water Purification
Air Conditioning
Agricultural Drying
Wastewater
Other (specify)
   

Section 4: Water Heating and Energy Data

 
(complete as applicable)
   

Water Heating Used

Rated Heat Input

Storage Capacity

Storage Temperature

Gallons Liters 

F C  

Rated System Recovery

Air Conditioning System

Capacity (specify units)

Water Costs Per Year

US$

Water Consumption Per Year (specify units)

Energy Costs Structure

US$/kwh Electric Costs Per Year

Gas Rate (if applicable)
US$ US$/therm 
Gas Costs Per Year  
US$  
   
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Tell us how to get in touch with you

   

Name (Required)

E-mail (Required)

 

 

Telephone Number

Fax Number
   

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Global Energy Alliance, Inc.
16 East LaRua Street
Pensacola, Florida USA
32501