NRG Request Form

Thank you for your interest in Northeast Resource Group. Please provide the following contact information:
Items in blue are required*

1. Organization Name or Your Name

2. Street address

3. City

4. Phone / ext.

5. Fax

6. E-mail

7. I prefer to be contacted by:

8. The best time to contact me is:

7. I would like to speak to you about:
Power Factor Correction Analysis & System Design
Infrared Products and Services
Preventative Maintenance Services
Transformer Efficiency Analysis and High Efficiency Transformer Applications
Harmonic Testing / Analysis
Harmonic Mitigation System Design
Electrical System Power Analysis and Load Studies
Transient Voltage Surge Testing and Suppression System Design
Lightning Protection and Avoidance System Design
Grounding System Resistance Testing Analysis and Design

8. If "Other" to number 7, please list

9. How did you hear about us?
Trade show
Magazine Ad
Web Site
Word of Mouth

10. Questions or Comments

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