Hemphill Solar Zeno™ Generator request form Customer and Site Information Company Name (required) Contact Name (required) Contact Phone (required) Contact Email (required) Site Name (required) Site Address (required) Site Lat & Long (required) Site Type (required) —Please choose an option—New BuildExisting Site Access (required) —Please choose an option—PavedGravelDirt Power (required) —Please choose an option—On-GridOff-GridPre-Grid Available Ground Area (L x W) (required) Length: ft Width: ft Load Information Typ. Load (required) kW Peak Load (required) kW DC Load (required) A @ +/48VDC AC Phase (required) —Please choose an option—Single/Split3-PhaseN/A AC Load (required) Load 1: A @ 120/240VAC Load 2: A @ V Notes