Application for a REAP Energy Audit Date: ___________ Name:_________________________________________ Address:_______________________________________ Town:_________________________________________ Zip:_______________ Home Phone:___________________ Cell:__________________________ Email:__________________________________________ Type of energy efficiency practice or renewable energy practice being considered: Renewable Energy systems, such as: o o o o o o Biomass Geothermal Hydropower below 30 megawatts Hydrogen Small and large wind generation Small and large solar generation Energy efficiency improvements, such as: o o o o o o o o High efficiency heating, ventilation and air conditioning systems Insulation Lighting Cooling or refrigeration units Doors and windows Electric, solar or gravity pumps for sprinkler pivot irrigation systems Switching from diesel to electric irrigation motor Replacement of energy-inefficient equipment While the total cost of the energy audit is $450, you only have to pay 25% of this cost. Please enclose a check payable to the University of Missouri for $112.50. Mail to: Don Day 2-44 Agriculture Building University of Missouri Columbia, MO 65211