Your Info:

Service Address:

Contact Details

Email *

Phone Number *

Proof of Identity

Enter only your legal first and last name. Do not include your middle name, middle initial, or any punctuation, as these may trigger a fraud check by the provider.

Legal First Name *

Legal Last Name *

Electricity providers require this information to perform a soft credit check, which has no effect on your credit. They check your credit score to determine if you'll have to pay a deposit.

Date of Birth *

Social Security Number *

Service Details

Start Date (when electricity turns on) *

Which service type applies to you? *

*I am authorized to make decisions for the above address and wish to establish new service from Champion or change my current electric provider to Champion;

*I authorize Champion to perform the necessary tasks to complete a switch or move in for my electric service;

*I understand that a credit check and/or deposit may be required;

*I have read, understand and consent to the Terms of Service, Electricity Facts Label and Your Rights as a Customer documents. I understand that I can print or save these documents and that a copy of these documents will be sent to me via e-mail if I have provided an e-mail address. I will contact Champion if I would like to receive a copy of these documents via mail.

By submitting this enrollment you agree to our Privacy Policy and Terms and Conditions.