Natural Gas Quote Sheet

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Request a Natural Gas Quote

In order to provide an accurate quote, you’ll be asked to submit your most recent utility bill and historical energy usage data.

Counterparty Name*

Utility*

Service Location Address*

Street Address Address Line 2 City State ZIP / Postal Code

Please Note:

Hidden

Submission Note

Term - in months*

Start Date*

All contracts begin on the first of the month.

Account Number*

Sales Rep*

Product*

Margin*

Please enter a number greater than or equal to 0.

Partner Fee

per Dth

Swing % (Opt.)*

100

Other

Swing %*

ShortFall/Excess Price Index (Opt.)*

Notes