Price Request Form

Price Request Information Form

Information submitted will be used only to review electricity and natural gas usage history to determine kWh and CCF usage of the business / organization. Once pricing is determined, a separate Retail Power Sales Agreement will be forwarded to your business / organization for enrollment and signature. This Energy Price Request Information Sheet does not extend the right for the Cincinnati USA Regional Chamber to sign or execute any contract for the business / organization without the express written consent of the business / organization.

Business name on account:
Legal business name (if different):
Address 1:
Address 2
City:
State: Zip:
Contact first name:
Contact last name:
Phone:
Email:

Accounts and meter numbers of all business energy accounts:

1. Acct: Meter:
2. Acct: Meter:
3. Acct: Meter:
4. Acct: Meter:
5. Acct: Meter:
6. Acct: Meter:
7. Acct: Meter:
8. Acct: Meter:
9. Acct: Meter:
10 Acct: Meter:

By submitting this form, I hereby request a pricing quote from the Cincinnati USA Regional Chamber to secure commodity electricity pricing for my business / organization.

 

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