Energy Info Prior to Enrollment
Who is your rep?
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First Name
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Last Name
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Address
Street Address
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City
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State
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Postal Code
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Phone Number
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Email
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What is your birthday?
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Do you have solar panels?
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Yes
No
Choose One:
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Switching Service - Residential
New Move In - Residential
Switching Service - Commercial
New Move In - Commercial
If switching service, when does your current contract expire?
Service Start Date:
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Are you:
Active Military/Veteran/Reserves
First Responder (Police/Fire)
Current Teacher
Senior 55+
Student
None of the above
Are you currently using an Energy Broker or Third Party Subscription service like Energy Ogre to shop rates and sign up on your behalf? If YES, please cancel with that Broker or Third Party company first before hitting “Agree” at the bottom. (You may be switched back to the previous provider if not canceled)
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Yes - I have canceled and sending proof of cancellation to my rep
No
How did you hear about us?
Referred By?
Upload your last electric bill: (Not required but helps!)
PDF, DOC/DOCX, XLS/CSV, JPG/JPEG, PNG, GIF
By clicking "Agree," you acknowledge that you are the account holder shown on your Energy Bill. We will contact you within 24 hours to discuss energy plans. Please have your current bill available to share. Also, there is NO NEED to cancel with your previous retailer. When you switch providers it will automatically switch and cancel your current contract. This way, you will not lose power. Additionally, if you have an Early Termination Fee with your previous provider, you will be responsible for that payment. Thank you for your understanding! Please save your “Reps” number in your phone incase you have any questions regarding your service, Thanks!
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Agree
SUBMIT
