Peoples Power Choice

Enrollment Form

Today's Date*
MM slash DD slash YYYY
Agent Name*
New Customer - Renewal*
Account Type*
Number of Accounts*
Customer Name*
First Last
Title*
Business Name*
Supplier*
Phone Number*
Fax Number
Email
Account 1
Utility:*
Account Number (11 digits)*
CLP - starts with 51 WMECO- starts with 54 PSNH- starts with 56
POD ID Number*
UI
Name Key*
4 Characters
Service Number*
Account Number*
*DUKEOH- Invoice will have 11 Digits, remove the last digit *Central Hudson- drop the last digit to make 10
Account Number*
CMP- assume there's a missing leading "0" (for a total of 14 numbers)
Account Number*
(REQUESTING ONLY WITH 8 DIGITS) The first 8 digits are leading 0's, remove those as well as the very last digit
Electric Choice ID*
POD ID Number*
Starts with PE and is 20 characters including PE
Customer Number*
Starts with 080
Account Number*
POD ID Number*
*NYSEG- Starts with "N" *RGE - Starts with "R"
Service Delivery Number*
*CSP- starts with "0004" *OPC- starts with "0014"
Suplier Agreement ID*
Account Number*
Name on bill*
Start Date & Year*
Term*
Rate*
Monthly Usage from bill*
Service Address*
Street Address City State ZIP Code
Is the billing address the same?*
- Yes
- No
Billing address if different **
Street Address City State ZIP Code
Additional Accounts
Multiple Accounts*
Notes Rate & Term Account # Serv. Address City State Zip KWH

*Please fill out each section*
Additional Information
Tax Id Number*
Customer Status*
Additional Notes
Bill Information
Please have bills sent to Email: *kvenable@peoplespowerchoice.com or jhilton@peoplespowerchoice.com Fax: 888-908-6090 Mail: 51 S Main Ave, STE 312, Clearwater, FL 33765
Admin USE ONLY

Notes	Rate & Term	Account #	Serv. Address	City	State	Zip	KWH

Enrollment Form

Account 1

Additional Accounts

Additional Information

Bill Information

Admin USE ONLY