DEALER'S ORDER FORM FOR STAND-ALONE SYSTEMS

DBK CORPORATION

DBK SOLAR DIVISION

1-(877) 325-7693

IF YOU ARE ORDERING GRID-TIE SYSTEMS CLICK HERE

DEALER’S ORDER FORM FOR DBK STAND-ALONE SYSTEMS

Date of Order:

Dealer’s Name:

Address:

City: State: Zip Code

Dealer's Telephone Number:

Customer Name:

Telephone Number:

Dealer's Purchase Order Number

System Requested Stand-Alone

Stand-Alone System (Incl. Panel (s), Stand-Alone Inverter(s) and Connection Parts):

Description of Project

Type of Panel: JIL-3000 Quantity:

Stand-Alone Inverter: Yes

Auto Transfer Switch: Yes Number of Switches:

Hardware: Yes

Racking: Yes Racking is needed specify type of roof:

Battery Regulator: Yes Number of Regulators:

Battery Bank & Recharger System: Yes

Fuel Cell System: Yes

Size of System: 24 hours 18 hours 12 hours

Shipping and Handling: Pick up at DBK, or Crating Charge May Apply

Completing the Job/Project

Electrician’s Name:

License Number:

Comments: