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Energy Audit Registration

First Name *

Last Name *

Address 1 *

Address 2

City (NOTE: Discounted prices below are for Town of Normal and City of Bloomington Residents only. If you reside in a different city/town please choose the full payment option below.) *

Zip *

Email *

Phone *

Type of structure *

Residency (renters must have landlord approval prior to energy audit) *

Utility provider (check all that apply) *

Ameren Illinois
Corn Belt Energy
Nicor Gas

Is everyone in your household (age 5+) vaccinated against COVID-19 *

Yes
No
Prefer not to answer

Are residents in the household (over the age of 2) willing to wear masks while EAC staff is in the home? *

Yes
No
Prefer not to answer

How did you hear about this program? *

Type of energy assessment you would like to schedule

Energy Assessments are offered from 9am - 5pm M-F. Please list some days/times that are preferable for you for the week following your submission *

Information about energy issues you are trying to solve:

Other comments:

Program Area *

Audit Payment Amounts *

In-person Visual ($20)
In-person with Diagnostic Testing ($80)
Small Business ($120)
In-person with diagnostics for McLean County residents living outside Bloomington-Normal ($350)
Requested Fee Waiver for Bloomington or Normal households in need ($0)

Timeout Warning

Energy Audit Registration