| * Name of Contractor: | |
| * Company | |
| * Address 1 | |
| Address 2 | |
| * City | |
| * State | |
| * Zip | |
| * Phone | |
| * Email | |
| I would like to be considered as an approved green contractor for GoGreen Lending | |
| I would like to schedule an appointment with a GoGreen Lending professional | |
| If you have proposed Home Improvement/ Energy Efficiency Upgrade Project financing request, please provide the following information: |
| Name of Homeowner | |
| Address of Property | |
| Homeowner Phone | |
| Homeowner E-mail | |
| Current mortgage(s) BALANCE against project property: |
| * 1st Loan Amount | $ |
| * 1st Loan Interest Rate | |
| * Type of Loan | |
| 2nd Loan Amount | $ |
| 2nd Loan Interest Rate | |
| Type of Loan | |
| * Occupancy | |
| * Type of Property | |
| * Est. Home Value | |
| * Cosmetic Improvements | $ |
| * Energy Upgrades | $ |
| * Total Project | $ |
| Tell us more about your request: | |
| * = Required Field |
| |
