Electrify Arlington Intake Form
Thank you for your interest in making your home more climate-friendly!  Please fill out the form below to plug into the Electrify Arlington campaign (pun intended!) to reduce our Town's energy use and greenhouse gas emissions by powering our community with clean electricity.  You can use this intake form to request consultations with one of Electrify Arlington's volunteer heat pump coaches, get connected with the Electrify Arlington campaign, ask questions of Arlington's Energy Advocate, etc. 

We aim to respond to queries within 2-3 days.  To ensure that our response is not lost in your spam filter, please add electrifyarlington@town.arlington.ma.us to your list of approved email addresses and/or check your spam folder for an email from the Energy Advocate.  

You can also find information and resources on the Electrify Arlington website.  If you're interested in opting up to 100% renewable electricity, learn how at Arlington Community Electricity.

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Name *
Email *
Phone number (optional -- but this enables us to contact you if our email gets lost in your spam filter)
How did you hear about Electrify Arlington? *
How would you like to participate in the Electrify Arlington campaign? Select all that apply. *
Required
Which of the following technologies do you want to learn more about? Select all that apply. *
Required
Which of the following technologies (if any) do you know a lot about and would like to help other people learn about?  
Which of the following best describes your situation?  (This context helps us direct you to the best Mass Save programs for you.) *
Required
If 50% or more of the households in a building are low-income, the entire building qualifies for Mass Save's comprehensive low-income program.  "Low-income" here means <60% of Area Median Income, which also makes a household eligible for discounted utility rates, fuel assistance, SNAP, and many other means-tested benefits.  Do 50% or more of the units in your building have low-income residents?
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What kind of heating fuel does your home or business use?  Select all that apply.
How is heat distributed in your home/business? Select all that apply.
What kind of cooling system do you have? Select all that apply.
What questions do you have about Electrify Arlington or about electrification in general?
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