Name *

First Name

Last Name

Address of Property *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Where is the power point (GPO) located?

On a wall where both sides of the wall are inside the building (Internal Wall)

On a wall where one side of the wall is outside of the building (External Wall)

External power point (Located outside/outdoors)

Unsure of location