Appendix 4C

Name*

First Last

Company Name*

Who do you work for?

Position*

What's your role in the company?

Email*

What's your preferred email address?

Enter Email Confirm Email

Phone*

What's the best number to reach you on during business hours?

Your needs*

Select the options that apply...

System Size*

How big is your current system?

System Size*

What size system do you need?

What system do you currently have?*

You can select more than one...

Current fuel cost*

Let us know your approximate monthly fuel cost...

Quarterly cash flow report for entities subject to Listing Rule 4.7B