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account and validation
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Account Number
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By checking off this box, I confirm and authorize enrollment for the services chosen and have completely read, understood, agree and accept the enrollment and all other disclosures and materials relating to the Agreement
for the service(s), including:
I confirm that I have completely read and understood the Customer Bill of Rights.
This electronic acceptance of the Agreement is an agreement to initiate services and commence enrollment. I hereby consent and authorize MyRate Energy to review and obtain
information regarding my historical
consumption information/data from the Utility and I authorize the release of such information to MyRate Energy. The information obtained may be used by MyRate Energy (and any of its affiliates, representatives
or agents) to
determine whether it will initiate and/or continue to provide Natural Gas and/or Electricity service(s) to me. The information obtained shall not be disclosed to a third-party unless
required by law.
The authorization I provide will remain in effect during the course of the initial term of this Agreement and any renewal term as well. At any time, you may request a hard copy of
this
Agreement and MyRate Energy will provide you with one within 3 (three) business days after this request is completed.
I understand that the supply of Natural Gas and/or Electricity will be provided by MyRate
Energy. The delivery of the energy services shall continue to be provided by the utility; and the utility will also be available to respond to leaks or other emergencies should they occur.
Within 3 calendar days after electronically accepting the sales Agreement you may rescind this Agreement and authorization with no penalty. Upon cancellation of the Agreement, MyRate Energy will provide you
with a cancellation Number. At anytime, you also may rescind your authorization for the release of your information (by the
utility). As mentioned above, if you wish to request a hard copy of this
Agreement or wish to rescind the Agreement,
please call into MyRate Energy’s toll-free number at 1-855-500-6381 or email us at [email protected]. You
may print a copy of your Agreement summary (Disclosure Statement) as well as your Terms and Conditions by clicking the hyperlinks above in the first paragraph.
Your information
Your information
Clients information
Service Address
Service Address
time date