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Free Analysis

Reliable Energy can save you money. To obtain your free analysis, please complete the Account Information and Natural Gas Profile sections of this form.  Please note that a separate form must be completed for each account to be analyzed.

Upon receipt, your information will be forwarded to one of our qualified account managers for review.  You can expect to hear back from us with the results of our analysis within 7-10 business days. If you would prefer to speak directly with one of our account managers, simply complete and submit the Account Information portion of this form.

Start saving today with Reliable Energy.
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Note: If you have multiple locations and would like an analysis for each, please submit the form for your first location. You will then have the opportunity to return to the form for additional reports.

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Account Information

Company Name:

Contact Name:

Address:

Address Line 2:

City:

State:

Zip:

Phone:

Fax:

E-mail:

Profile of Natural Gas Use

Natural Gas Utility:

Are you currently participating in your utility’s gas customer choice program?

If you answered “yes” when does your commitment expire?

Is your current price of gas  variable  or   fixed?

If you selected “fixed” what is the price?

What is your estimated annual consumption? Unit of Measure:   Amount:

Please enter your consumption by month:

Jan

Feb

Mar

Apr

May

Jun

Jul

Aug

Sep

Oct

Nov

Dec

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