Navajo Power Home  |  Sign-up form
The following is the sign up form required to contract a Navajo Power Home solar service for your home. Navajo Power Home will reach out to you to schedule next steps and installation date. 
Sign in to Google to save your progress. Learn more
First name (of individual who will be on the contract) *
Last name (of individual who will be on the contract): *
Street address: *
Town: *
Zip code: *
Phone (all numbers together - no spaces or dashes). Please only share your phone number if you agree to receive text messages from Navajo Power Home PBC *
Email *
We will use this email address to share with you your contract and bills.
What Chapter House is your home affiliated with? *
Next
Clear form
Never submit passwords through Google Forms.
This form was created inside of Ilumexico. Report Abuse