Interest Form
Step 1 of 5
20%
1. Of the following, which devices do you use regularly?
Devices used regularly
*
Smartphone
Tablet
Laptop
Smart watch
Wireless earbuds
Wireless headphones
Handheld gaming console
* Please check all that apply
2. How often do you experience power outages at home?
Power outage frequency
*
About once a week
About once a month
About once every few months
Once a year or less
3. Which age demographic do you fit into?
Age demographic
*
21 & under
22-35
36-49
50-65
66+
4. How did you hear about us?
How you heard about us
Facebook
Instagram
Google
Advertisement
Friend/family
5. We’ll only send you special offers and updates. No spam.
Name
*
First
Last
Email Address
*
Country
*
Canada
USA
Other
Postal / ZIP code
*
ZIP / Postal Code
