SOLAR FINANCE – Modtech NG

Solar Financing Application Form

Full Name *
Phone *
Street Address *
Apartment, suite, etc
City *
State *
ZIP / Postal Code
Country
Email Address *
SelectSystem Size (KVA)
INCOME Monthly Income
Select
Valid Identification Card
No file chosen
Proof of Address *
No file chosen
Terms and Conditions *I authorize Modtech Works Limited to process my application.I understand that Modtech Works Limited will verify my credit informationAll monthly payments are to be made on the same day of the month as the first paymentIf payment is not made on the due day of the month, a 10% default charge will be made for the month in question. (10% of the monthly payment)I agree that if I fail to make payment as and when due for two consecutive months, Modtech Works Limited will take possession of all equipment installed and I will forfeit all payments made.I have read, clarified and understood all terms and conditions above.
Signature:
No file chosen