Shift and Save Pilot Program Participation

Shift and Save Pilot Program Participation Form

(Please submit a separate form for each account)

Your request will be completed at the start of your next billing cycle as long as this request is received 3-5 business days prior to the start of your next billing cycle. If not, the request will be applied in time for the following billing cycle.
* Please confirm your choice: At this time, I'd like to decline participation in the Shift and Save pilot program
By doing so, I understand that I will not be able to provide insight on how the proposed TOU rate impacts customers.
* Full name / Business name:
* Account number
* Email address
* Service address
* City
* State
* ZIP
Additional Comments (optional):
* Electronic signature (full name):
Date:
DISCLAIMER: By typing your full name, you are signing this electronically. You agree that your electronic signature is the legal equivalent of your manual signature on this form.
* Required Field

Shift and Save Pilot Program Participation Form