Small-Medium Business Lighting Intake Form
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Please select all that applies to you:
I am located in Oregon in an existing commercial building, multifamily property, or industrial facility and served by Pacific Power
I have less than 20 employees or staff members
My business space is less than 20,000 sq. ft. (includes all buildings on site)
I am a community organization that provides free or reduced-cost food, housing, health, economic or social services, or a religious center/place of worship
None of the above apply to me
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Business or Organization Name
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/50
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Street Address of Business or Organization
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/50
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City
Grants Pass
Merlin
Other
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/250
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Zip Code
97527
97526
Other
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/250
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Contact Name (point of contact)
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Point of Contact's Position or Title
Building Owner
Business Owner
Manager
Employee
Other
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Point of Contact's Phone Number (Example: 5419564100 )
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/50
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Point of Contact's Email Address
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/50
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Preferred language of communication
English
Spanish
Mandarin
Vietnamese
Other
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/250
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Known details regarding existing lighting, site building details (single or multiple buildings), etc.
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/500
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