10th Anniversary Promotion

Full Name *

Email *

Phone Number *

Serial Number *

Usually starts with X, H, M, contains 14 digits

Installation company

Installation Address *

Address Line 1

Address Line 2

City

State / Province / Region

Zip / Postal Code

Country

Best of Luck

Submit the form to win a $1,000 cash jackpot.

$20 Woolworth Gift Card

Your eGift Card is delivered for free via email and has no expiry date, and can be used at store or online.

Worst Best
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How likely are you to recommend SolaX Products to a friend or customer? *

Not possible Defiantly will
0	1	2	3	4	5

How you rate the production outcome of your SolaX system? *

Not worth the money I am getting full use of the system
0	1	2	3	4	5

Please specify other factor that impacts your purchase decision

Please spcify the other reasons of choosing SolaX system

Other comments/suggestions

*eGift Card will send via emails within 2 weeks after survey submittion.

*Australia Market ONLY

*Terms and conditions apply

*SolaX Power reserves the right of final interpretation

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