• Yes, Send me literature on your company.  I am interested in the technology, but I am not ready to make a purchase.

• Yes, Send me literature on your company and have sales representative to follow up.  I am going to make a purchase in the next twelve (12) months.

• Yes, Send me literature on your company and have sales representative to follow up.  I am going to make a purchase in the next six (6) months.

• Yes, Send me literature on your company and have sales representative to follow up.  I am going to make a purchase in the next thirty (30) days.

•     developer architect mechanical engineer HVAC contractor utility other

• Developer   Yes    No     Name:     

• Architect    Yes     No     Name:   

• HVAC Contractor    Yes     No     Name:   

• HVAC Manufacturer    Yes     No     Name:   

• HVAC Distributor    Yes     No     Name:   

• Mechanical Engineer    Yes     No     Name:   

• Utility     Yes     No     Name:   

• I would like you to select an architect, HVAC contractor, mechanical engineer or utility. Please recommend one.

•    Office Building Medical Facility - Hospitals, Nursing Homes, etc. Convenience Store Hotels / Multi - Housing Restaurant School - College School - Elementary Miltary - Housing Military - Other Other

•       Retrofit            New Construction

• feasibility survey phase designing phase finding contractors phase building phase Biding Phase

• Has a feasibility survey been conducted.     Yes    No

• Can you provide a feasibility test for a fee?  Yes

• Please list the type of equipment you currently use.

• Please list the commercial applications last 12 months of utility bills and rates (gas and electric only)

• Results of the survey, if a feasibility test has been conducted:

• Is it a plan and specifications project?     Yes    No

• Is it a design and build project?     Yes    No

• Will the project be bided out?    Yes    No

• Will the project be negotiated?    Yes    No

• Other, Please Describe. 

• Has a thermal conductivity test been run?     Yes        No

• If yes, who commissioned the test?   

• If yes, what were the results of the test?

• Would you like Georgia Geothermal to conduct a test?    Yes    No

• The HVAC contractor's heating and cooling tonnage recommendation is .

• No recommendation has been given at this time.

• How many bores needed?    

• What is the depth of hole?    

• What is the diameter of hole required?     

• What is the distance between holes?     

• What is the size of loop to be inserted?     

• Please indicate the type of backfill if known.   

• How is the loop field headered? Please describe.

• Who is responsible for building penetrations  for return / supply header lines from loop field to geothermal heat pump equipment?      Georgia Geothermal            Other Contractor 

• Loop Design:    Please select the one which best applies to you (if known)

ONE LOCAL LOOP serving MULTIPLE HEAT PUMPS and a WATER              HEATER with a SINGLE WATER PUMP servicing the system.

ONE LOCAL LOOP serving MULTIPLE HEAT PUMPS with a SINGLE              WATER PUMP servicing the system.

ONE LOCAL LOOP serving MULTIPLE HEAT PUMPS with a SINGLE              WATER PUMP and two-way values on each unit.

MULTIPLE INDIVIDUAL LOOPS serving MULTIPLE INDIVIDUAL HEAT              PUMPS and MULTIPLE INDIVIDUAL WATER PUMPS

• Other Details You Wish to Share about the project.