Existing Homes Registration REGISTER TODAY Contact InformationName* First Last Address* Street Address City Postal Code Email* Primary Phone*Secondary PhoneProgram EligibilityDo you own this home?* Yes No Do you live in this house?* Yes No Does your home include a rental suite?* Yes No What type of home?* Single-detached Duplex Townhouse Are you willing to have photos/videos taken of your home during the energy retrofit process? These photographs will be used for educational and promotional purposes and are optional.* Yes No Note: The Energy Advisor providing the energy evaluation is required to take photos of your home as needed for documentation by Natural Resources Canada. Photographs taken by the Energy Advisor will only be used for quality assurance purposes. Have you have already completed an energy evaluation on your home?* Yes No If yes, the approximate date of my energy evaluation was: MM slash DD slash YYYY Program InformationWhy are you registering for Energy Save New West?*(Please check only one) Reduced price for energy evaluation Positive impact on the environment Rebates and incentives from FortisBC / BC Hydro Reduced energy bills Improved comfort Starting home renovation project How did you hear about Energy Save New West?*(Please check only one) Brochure Utility Bill Community Newspaper Website Social Media Word-Of-Mouth / Friend Electronic Billboard Contractor Event Empower Me ConfirmationBy filling out this form I understand that Energy Save New West may contact me (by phone or email) for the purposes of program administration, implementation and evaluation and/or to provide me with further information on this or other similar energy-efficiency related programs. Terms & Conditions* Yes, I agree to the Terms & Conditions E-News Subscription Opt-In Yes, I agree to receive EXISTING HOMES emails from City of New Westminster containing news, updates and promotions in relation to Energy Save New West programs. Yes, I agree to receive NEW HOMES emails from City of New Westminster containing news, updates and promotions in relation to Energy Save New West programs. Please refer to our Privacy Policy or Contact Us for more details. You may withdraw your consent to receive such emails from City of New Westminster at any time.CAPTCHANameThis field is for validation purposes and should be left unchanged. Δ
