Customer Audit Form - R.E.I. Group & Partners LLC

R.E.I. Group & Partners LLC

Customer Audit Form

* Indicates required field

Business Name *

Customer Name *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Phone Number *

Location *

QTY *

Bulb Type *

Others *

Watts *

HRS of Operations *

Multiple location please describe below; location, Bulb type, watts, & quantity per location: *

Electric Bill submitted *

Submitted By: *

Submit