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 result in an error when the order is submitted to the provider.

Legal First Name *

Legal Last Name *

Date of Birth *

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.

Social Security Number *

Service Details

Start Date (when electricity turns on) *

Which service type applies to you? *

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