Job Account Application

Company Name*

Dealer Account Number*

Contact Name*

First Last

Contact Phone Number*

Contact Email Address*

Contact Address*

Street Address Address Line 2 City State ZIP Code

Relationship to Job*

Owner
Prime Contractor
Subcontractor

Company Owner*

First Last

Company Owner #2 (if applicable)

First Last

Would you like to be charged sales tax on your orders for this job?*

Yes
No

Sales Tax Exemption*

Drop files here or

Max. file size: 80 MB.

If you would like your orders to be exempt from sales tax for the state where we are shipping the order, please find the Exemption form for the state at https://aeesolar.com/tax-forms/ and upload.

Please explain why you would like to be charged sales tax.*

Site Information

Physical location where install is occurring.

Name*

First Last

Address*

Street Address Address Line 2 City State ZIP Code

Phone*

Cell Phone

Email Address*

Owner of Property

Owner of physical location of install.

Name*

First Last

Address*

Street Address Address Line 2 City State ZIP Code

Phone*

Cell Phone

Email Address*

Lender Information

Name*

First Last

Address*

Street Address Address Line 2 City State ZIP Code

Phone*

Cell Phone

Email Address*

Prime Contractor

AEE Customer listed above?*

Yes
No

Name*

First Last

Address*

Street Address Address Line 2 City State ZIP Code

Phone*

Cell Phone

Email Address*

Subcontractor

AEE Customer listed above?*

Yes
No

Name*

First Last

Address*

Street Address Address Line 2 City State ZIP Code

Phone*

Cell Phone

Email Address*

Bonding Company

Type of Bonding Company*

Prime Bonding Company
Sub Bonding Company

Name*

First Last

Address*

Street Address Address Line 2 City State ZIP Code

Phone*

Cell Phone

Email Address*

Account/Bond Number*

Job Information

Estimated Dollar Value*

Requested Credit Limit*

This job will have:*

One furnishing
Several furnishings
Don't know

Expected Shipment Date of Order*

Pre-lien Deadline Date

Construction Contract*

Max. file size: 80 MB.

Please upload your construction contract.

Performance Bond*

Max. file size: 80 MB.

Please upload your performance bond.

Signature

By affixing my signature below, the undersigned certifies that: 1.) The information provided for this form is accurate; 2.) I am duly authorized to provide the information; 3.) I hereby give my consent to AEE Solar to obtain lender information; 4.) I acknowledge that a lien will be placed on the consumer's property for non-payment; 5.) I am an authorized corporate signer.

Signature*

Print Name*

First Last

Title*

Date*

Authorized Signers

Please list all authorized signers who can be contacted regarding this application. Be sure to include contact information.

Job Account Information Sheet

Site Information

Owner of Property

Lender Information

Prime Contractor

Subcontractor

Bonding Company

Job Information

Signature