Referral Network Sign Up

We are excited you are joining Greenzu’s service provider network.

To get started answer the questions below, and we can start automatically sending you leads.

1 General Information

* Company Name:

* Address:

* City: * State: * Zip:

* Contact Name: Title:

* Phone: * Email:

Website:

2 Project Type & Minimum Size *

Please tell us which types of project leads you want to receive, and your minimum project size for each.

Project Type Minimum Size Required
Installing Automatic Light Controls
Estimated controls needed must exceed:
Upgrading To Energy Efficient Lighting
Estimated fixtures needing retrofit must exceed:
Installing Programmable Thermostats
Number of thermostats to replace must exceed:
Installing Dual Flush Toilets
Estimated toilets to upgrade must exceed:
Fuel Cell Installation
Please describe:

3 Service Territory

Please tell us the states you serve, and for each which counties you cover.

* State(s): (Hold down ctrl key to select multiple states)
Select All     Clear Selection
* Counties Served (Please list the main counties in your coverage area.)

4 Billing Information

* I agree to pay $80 per qualified lead emailed to me. Checking this box means you agree to the full Terms & Conditions.

Monthly Budget: Only send me leads per month.

Please check if Billing Information is same as General Information.

Billing Contact Name: Email:

Billing Address:

City: State: Zip:

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