Name:	__________________________________________
Phone Number:	__________________________________________
Street Address:	__________________________________________
City, State, Zip:	__________________________________________
E-mail Address:	__________________________________________
Port of Entry:	__________________________________________
Solar Panel Wattage:	__________________________________________
Solar Panel Quantity:	__________________________________________
Mono/Poly Cristaline?:	__________________________________________
OEM Manufacturer Label?:	__________________________________________
	Please send by mail to: Advance Power Inc. P.O. Box 23 Calpella, California 95418, USA