Estimated annual energy use for your customers or members?

First Name

Last Name

Company

Street Address

City

State AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY

Zip Code

Phone Number

Email

How many years has your company/organization been in business? 1-2 2-5 6-9 10+

What products/services are you interested in? ElectricityNatural GasRenewable EnergyEnergy EfficiencySolarLoad Response (Select all that apply)

Are the products/services that you are interested in for business or residential customers? Business Residential Both

What products and/or services does your company/organization provide?

What other retail energy suppliers does your company currently work with?

How large is your customer base or membership?

How would you describe your customer base or membership? Do you target any specific verticals or customer types?

Electricity (MWhs):

Natural Gas (Therms):

In which states is your business currently licensed and active?

Does your business mainly focus on the energy sector or would this be an ancillary sale to your core business?

How many sales representatives are in your network? 0-100 101-200 201-500 501+

What is their experience in the energy industry?

How are sales representatives employed by your company/organization? Full-time employees Part-time employees Contract employees (1099s)

Comments

* Use of the term “partner” does not create or imply a legal partnership or any other fiduciary relationship between you and Constellation.