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Complete this form to receive a free, no-obligation commercial electricity quote.

First Name

Last Name

Job Title

Company Name

Address 1

Suite #

City

State

Zip

Work Phone

Email Address

Estimated Monthly Power Usage (Kilowatt 'KWH" hours found on monthly bill).

Current KW Rate (in cents) On Bill

ESI ID Number (Found on monthly bill).

PLEASE READ:
To assist Servant Energy in delivering the best possible pricing to you for future estimated electricity power usage, it is necessary for us to retrieve your electric meter�s prior twelve month historical usage information from your Transmission Distribution Service Provider (TDSP).

To this end, we are required to secure your permission in writing via a Letter Of Authorization (LOA) so we may pull your company's historical usage information. Please note, the LOA does not bind you in any way or form. It merely enables us to provide you the most accurate pricing available based upon the prior electricity usage data.
Please sign your name on the attached Letter of Authorization and fax form to 999.999.9999. Once received, Servant Energy will quickly show you how much money we can save your business.


First Name
Last Name
Job Title
Company Name
Address 1
Suite #
City
State
Zip
Work Phone
Email Address
Estimated Monthly Power Usage	(Kilowatt 'KWH" hours found on monthly bill).
Current KW Rate (in cents)	On Bill
ESI ID Number	(Found on monthly bill).

PLEASE READ: To assist Servant Energy in delivering the best possible pricing to you for future estimated electricity power usage, it is necessary for us to retrieve your electric meter�s prior twelve month historical usage information from your Transmission Distribution Service Provider (TDSP). To this end, we are required to secure your permission in writing via a Letter Of Authorization (LOA) so we may pull your company's historical usage information. Please note, the LOA does not bind you in any way or form. It merely enables us to provide you the most accurate pricing available based upon the prior electricity usage data. Please sign your name on the attached Letter of Authorization and fax form to 999.999.9999. Once received, Servant Energy will quickly show you how much money we can save your business.