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Equipment Lease & Purchase Interest Form

Contact Us – Equipment Interest Form

Request a purchase or lease estimate on equipment offered by VGS. Please note, VGS must visit your property and complete a site evaluation prior to providing estimated costs for a service.

"*" indicates required fields

Contact Info

Please provide your first and last name.
Property Address*
Are you a VGS customer?*

Energy Information

What products are you interested in?*
Select all that apply.
Please indicate the type of heating equipment you are interested so we can best serve you.
This will help us determine any rebates that you may qualify for, which could reduce your lease or purchase price.
Does your electric panel require an upgrade?*
Are you currently working with an electrician?*
This information can be located on the plate of your furnace. You can skip this for now, but it is information that we will need to acquire before we are able to schedule a site assessment.
Enter age of furnace if known, otherwise enter ‘unknown’.
Enter square footage if known or ‘unknown’ if you are not certain.
Max. file size: 50 MB.
Optional: Add a photo of your electric panel.
Max. file size: 50 MB.
Optional: Add a photo of your furnace.

Household Information

(Income-qualified households may be eligible for additional services and funding options)
Is your household gross annual income less than the amounts listed in the table below?*
Number of People in Household123456+
Chittenden & Franklin Counties$99,900$114,150$128,400$142,700$154,100$165,500
Addison County$91,550$104,650$117,700$130,800$141,250$151,750
Income is defined as the total annual gross income of all family and non-family members 18+ years old living within the household. To calculate income, take the monthly amount from the last one-to-two paychecks for yourself and the people in your household (before taxes) and multiply by 12. Include all wages, including regular salaries and overtime. If you are self-employed, use the previous month of pretax income and multiply by 12.

All sources of income must be counted from all persons in the household based on anticipated income expected within the next 12 months. Possible types of income include but are not limited to: wages, salary, tips, bonuses or commissions payments, public assistance, social security/SSI, child support, regular gifts, unemployment, income earned on assets (savings, IRA, etc.) and some types of financial aid.
Is your household gross annual income less than the amounts listed in the table below or do you qualify for SNAP, Medicaid, the Weatherization Assistance Program (WAP), or Low Income Home Energy Assistance Program (LIHEAP)?
Number of People in Household123456+
Chittenden & Franklin Counties$66,600$76,100$85,600$95,100$102,750$110,350
Addison County$61,050$69,750$78,500$87,200$94,200$101,200
We’d love to know how you found out about our programs! Your feedback helps us understand which of our marketing efforts are most effective and allows us to improve our services. Please select an option:
What Type of Advertisement*

Referral Point*

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Address
85 Swift Street
South Burlington, VT
05403

Normal Business Hours
Monday – Friday
8 am – 5 pm
(In-person service available by appointment, call to schedule)

Customer Care
(802) 863-4511
(800) 639-2112
Email Customer Care

Fax Number
(802) 863-8872

Energy Efficiency
Email Energy Efficiency

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