SUMMA Energy Services - Total Energy Management™ | Energy Engineering, Mechanical Retrofit, Behavior!

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Pre-Assessment Form

This form has been designed to help SUMMA quickly calculate the possible energy and dollar savings a total energy management program can achieve for you and your facility Please fill out the information below or print and fill out the form. Upon completion of the printable form please email, or fax the form to either SUMMA Energy Services, or American Mechanical Systems Service.

Download a printable form here (PDF Format)

Please fill in all fields

Personal Information
Company Name
Contact Name
Email Address
Telephone No.
Address
City
State
Zip Code

Facility Information
Square Footage
No. of Computers
Weekday Hours
Weekend Hours
Occupancy Type Own
Rent
Multiple Sites?
Yes
No
Custodian Shifts
Night
Day
Open Holidays?
Yes
No
Thermostat Settings
Winter
Summer
Annual Costs
Annual Electricity Costs
Annual Heating Costs
Lighting
Incandescent
Flourescent Size Chart
HID
Other
Heating
Natural Gas
Electricity
Other
Forced Air
Boiler
None
Cooling
Swamp Coolers
Air Conditioning
Chiller
Rooftop Units
None
Other
In the event that your company is interested in pursuing "total energy savings", please indicate below the various programs that you would like SUMMA to include.
Lighting
Behavioral
HVAC
Metering
Commissioning
Incentives
Tax Savings

7530 South State Street, Midvale, Utah 84047 | Office: 877-245-6120 | Mobile: (801) 230-6534 | Fax: (435) 245-6483