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Alternative Energy Source Profile Sheet PDF Print E-mail

Ottawa Area Chamber of Commerce

Energy Profile Sheet

 
 
 


            Yes, I wish to have a Representative from AES call me.

 

Company Name_____________________________________________________________

 

Company Address___________________________________________________________

 

City, State, Zip______________________________________________________________

 

Contact Person_____________________________________________________________

 

E-mail Address_____________________________________________________________

 

Phone #_____________________________ Fax #_________________________________

 

1)            NatGas utility company?  _______________________________________

 

2)            Are you currently in a Gas Transportation Program?  Yes _____   No _____  

 

3)            If yes, when does your program expire? _____ / _____ / _____

 

4)            Annual Usage _______________   Unit of Measure:  Ccf, Mcf, Dth,

 

PLEASE ATTACH RECENT UTILITY BILL COPY FOR EACH ACCOUNT YOU RECEIVE (front and back)

 

 

5)            What is the Nature of your Business?

_____________________________________________________________________________

_____________________________________________________________________________

        

8)      Is Natural Gas used in a process within your company or just heating of your facility?

_____________________________________________________________________________

 

9)      Comments / Questions

_____________________________________________________________________________

_______________________________________________________________________

 

Fax this form along with Dominion’s Gas Invoice(s) to:

Ottawa Area Chamber at (866) 865-8740

 
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