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Company Name or Organization

First Name	Last Name

Email

Phone

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ZIP Code

What Products and Services are you interested in?

Electricity Supply

Renewable Energy

Energy Efficiency

Solar

Load/Demand Response

How Did You Hear About AEP Energy

Please select Direct Mailing Partner Referral Tradeshow Google Social Media Other

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Please tell us more about your business and electricity usage (optional)

What is Your Business or Property Type?

Please select Advertising/Marketing Auto Dealer Banking/Finance Condominium Construction Data Center Electronics/Telecommunications Entertainment Food Processing Gas Stations/Convenience Healthcare Hotel Manufacturing Office Building Printing/Publishing Public Sector Restaurants Retail/Grocery Transportation Warehouse/Storage Other

Current Electricity Supplier

What is Your Average Monthly Spend?

Please select $1 - $1,999 $2,000 - $7,999 $8,000 - $15,999 $16,000 and above

What is Your Average Monthly Electricity Usage?

Please select 1 - 19,999 kWh 20,000 - 79,999 kWh 80,000 - 159,999 kWh 160,000 kWh and above

Comments (Are you part of an association? Let us know)