Professional Application
Required Field
*
Company Information
Business Name as shown on Income Tax Return (W-9)
*
EIN
Federal Tax Classification
--None--
LLC C
LLC S
LLC P
LLC Single Member
C Corporation
S Corporation
Partnership
Other
Specify manufacturer(s), if you are a dealer
Business Sector
--None--
Architect
Broker
Auditor/Inspector
Contractor
Contractor/Engineer
Engineer
Facility/Property Manager
Manufacturer
Owner/Owner Association
Project Developer
REIT
Other Professional
Specify specific business(es), if applicable
State County License Number
*
Enter N/A if Licensure is not required for your business
License Expiration Date
License Holder
License Type
Address as shown on income tax return (w-9)
*
City
*
State
*
--None--
Alaska (AK)
Alabama (AL)
Arkansas (AR)
American Samoa (AS)
Arizona (AZ)
California (CA)
Colorado (CO)
Connecticut (CT)
District of Columbia (DC)
Delaware (DE)
Florida (FL)
Federated States of Micronesia (FM)
Georgia (GA)
Guam (GU)
Hawaii (HI)
Iowa (IA)
Idaho (ID)
Illinois (IL)
Indiana (IN)
Kansas (KS)
Kentucky (KY)
Louisiana (LA)
Massachusetts (MA)
Maryland (MD)
Maine (ME)
Marshall Islands (MH)
Michigan (MI)
Minnesota (MN)
Missouri (MO)
Northern Mariana Islands (MP)
Mississippi (MS)
Montana (MT)
North Carolina (NC)
North Dakota (ND)
Nebraska (NE)
New Hampshire (NH)
New Jersey (NJ)
New Mexico (NM)
Not in USA (NS)
Nevada (NV)
New York (NY)
Ohio (OH)
Oklahoma (OK)
Oregon (OR)
Pennsylvania (PA)
Puerto Rico (PR)
Palau (PW)
Rhode Island (RI)
South Carolina (SC)
South Dakota (SD)
Tennessee (TN)
Texas (TX)
Utah (UT)
Virginia (VA)
Virgin Islands (VI)
Vermont (VT)
Washington (WA)
Wisconsin (WI)
West Virginia (WV)
Wyoming (WY)
Postal Code
*
Office Phone
*
Mobile Phone
Fax Number
Email Address
*
Website
Contact Information
Main Contact
First Name
*
Last Name
*
Contact Address is the same as the company address.
Street Address Line 1
*
Street Address Line 2
City
*
State
*
--None--
Alaska (AK)
Alabama (AL)
Arkansas (AR)
American Samoa (AS)
Arizona (AZ)
California (CA)
Colorado (CO)
Connecticut (CT)
District of Columbia (DC)
Delaware (DE)
Florida (FL)
Federated States of Micronesia (FM)
Georgia (GA)
Guam (GU)
Hawaii (HI)
Iowa (IA)
Idaho (ID)
Illinois (IL)
Indiana (IN)
Kansas (KS)
Kentucky (KY)
Louisiana (LA)
Massachusetts (MA)
Maryland (MD)
Maine (ME)
Marshall Islands (MH)
Michigan (MI)
Minnesota (MN)
Missouri (MO)
Northern Mariana Islands (MP)
Mississippi (MS)
Montana (MT)
North Carolina (NC)
North Dakota (ND)
Nebraska (NE)
New Hampshire (NH)
New Jersey (NJ)
New Mexico (NM)
Not in USA (NS)
Nevada (NV)
New York (NY)
Ohio (OH)
Oklahoma (OK)
Oregon (OR)
Pennsylvania (PA)
Puerto Rico (PR)
Palau (PW)
Rhode Island (RI)
South Carolina (SC)
South Dakota (SD)
Tennessee (TN)
Texas (TX)
Utah (UT)
Virginia (VA)
Virgin Islands (VI)
Vermont (VT)
Washington (WA)
Wisconsin (WI)
West Virginia (WV)
Wyoming (WY)
Postal Code
*
County
Office Phone
*
Mobile Phone
Fax Number
Email Address
*
Other Contacts
Please note if separate contact for Completion Certificates, Invoices or questions on Proposals (more contacts can be added once application is accepted)
Contact 2 Name
Contact 2 Phone
Comment
Contact 2 Email
Contact 3 Name
Contact 3 Phone
Comment
Contact 3 Email
Services
State
*
--None--
National
Alaska (AK)
Alabama (AL)
Arkansas (AR)
American Samoa (AS)
Arizona (AZ)
California (CA)
Colorado (CO)
Connecticut (CT)
District of Columbia (DC)
Delaware (DE)
Florida (FL)
Federated States of Micronesia (FM)
Georgia (GA)
Guam (GU)
Hawaii (HI)
Iowa (IA)
Idaho (ID)
Illinois (IL)
Indiana (IN)
Kansas (KS)
Kentucky (KY)
Louisiana (LA)
Massachusetts (MA)
Maryland (MD)
Maine (ME)
Marshall Islands (MH)
Michigan (MI)
Minnesota (MN)
Missouri (MO)
Northern Mariana Islands (MP)
Mississippi (MS)
Montana (MT)
North Carolina (NC)
North Dakota (ND)
Nebraska (NE)
New Hampshire (NH)
New Jersey (NJ)
New Mexico (NM)
Not in USA (NS)
Nevada (NV)
New York (NY)
Ohio (OH)
Oklahoma (OK)
Oregon (OR)
Pennsylvania (PA)
Puerto Rico (PR)
Palau (PW)
Rhode Island (RI)
South Carolina (SC)
South Dakota (SD)
Tennessee (TN)
Texas (TX)
Utah (UT)
Virginia (VA)
Virgin Islands (VI)
Vermont (VT)
Washington (WA)
Wisconsin (WI)
West Virginia (WV)
Wyoming (WY)
Property Classifications
*
Commercial Only
Residential and Commercial
Residential Only
Primary Specialization
*
--None--
Building Envelope
Cogeneration
Elevator
Emergency Standby Generator
Equipment
Geothermal Energy
Green Roof
HVAC
Lighting
Multimeasure Retrofit
New Construction
Other
Other Resiliency
PPA/ESA/EaaS
Retroactive Finance
Roof
Seismic Construction
Solar Energy
Water Conservation
Wind Energy
Windows/Doors
Counterpointe Energy Solutions
Counterpointe Contact or Referred by
Verification Code
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