CMLP Coaching Service Request Form

Request a Coach

Your Name

FirstLast

Your Email

Your Phone Number

.Format: (000) 000-0000.

Street Address

I'm interested in... (please check all that apply)

For my...

What step of the process are you at with your heat pump?

How old is your current heating system?

Does your home or business currently have air conditioning?

How old is your current AC system?

What can we help you with?

If you were to change your home's or business's heating/cooling or water heating system, please rate the following decision factors:

Rows	Important (select all that apply)	Most important (select up to 2)
Adding air conditioning to my home
Reducing my home's carbon footprint
Minimizing initial cost of installing a new system
Lowering my monthly energy bills
Improving health and comfort
Modernizing my heating or cooling equipment
Other (please specify below)

If you answered "Other" to the question above, please specify:

Is there anything not mentioned above that would be important for us to know about your house?

Meeting Time Availability

Coach

Mon, Tues, Thurs & Fri: 10:00AM - 12:00PM

Mon & Tues: 7:00PM - 8:15PM

Other times by request

Kim Slack

Wed: 2:00PM - 6:00PM

Sat: 11:00AM - 6:00PM

Ethan Herberman

Do you have a preference for working with a particular coach?

Which coach would you like to work with? We will do our best to accommodate your preference given existing workloads.

How did you hear about the coaching service?

The Customer agrees to waive any and all claims against the Town of Concord and the Concord Municipal Light Plant that may arise out of the consultation of CMLP's coaching staff with the Customer. Any and all contracts entered into by the Customer are solely between the Customer and their Contractor or Service Provider.

We'll let you know within 1 business day that we've assigned your request to a coach.

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