Home Efficiency Program Sign Up Green Iowa Home Assessment Sign-up Name* First Last Address Street Address Address Line 2 City State Email Phone*Home Type*Single family homeDuplexApartment in a multi-unit buildingHome Location*Within the city of DecorahOutside Decorah, within Winneshiek CountyClayton CountyHoward CountyOsage, IANone of the AboveTrip Fee*Households outside of Winneshiek County must pay a $25 trip fee. The charge can be split between neighboring households. Yes, I agree to the $25 trip fee Primary Heating Sources*Check all that apply. Propane Electricity Natural Gas Wood Stove Renewable Energy Renewable Heat Source*Please describe what type of renewable heat source you have.Type of Water Heater*GasElectricHybrid (Gas / Electric)Biomass / WoodTell us more about your home, and why you're interested in the Direct Install program.Free Direct Install EligibilityCheck all that apply I have a Low-Moderate income household (see main page for scale) I am 65 or older I am a Veteran I am a person with disabilities NameThis field is for validation purposes and should be left unchanged. This iframe contains the logic required to handle Ajax powered Gravity Forms.