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Send Us Your Energy Usage

 
Already filled out the form on the Contact Us page and have compiled your bills for last year from January thru December?  Great!  Fill in your information on the form below in order to help us give you faster service. 
 
Be sure to enter both your kilowatt usage for each month, as well as your total energy bill amount. (Please note that kilowatt usage must be in numeric form, only.)

Please note:  When looking up your Kw (kilowatts), your bill might show this as "meter reading" or "meter usage", instead of labeling it as "kilowatt usage".
 
Full Name:
Company Name:
Address Line 1:
Address Line 2:
City:
State:
Zip:
Phone 1:
Phone 2:
Have you filled out the form on the: Yes No
Energy Company Name:
January Kw:
January Bill Amount:
February Kw:
February Bill Amount:
March Kw:
March Bill Amount:
April Kw:
April Bill Amount:
May Kw:
May Bill Amount:
June Kw:
June Bill Amount:
July Kw:
July Bill Amount:
August Kw:
August Bill Amount:
September Kw:
September Bill Amount:
October Kw:
October Bill Amount:
November Kw:
November Bill Amount:
December Kw:
December Bill Amount: