Please fill out the information requested below and email or fax this form to The Bolingbrook Area Chamber of Commerce. Once your information is processed you’ll receive a complimentary electric cost analysis to help you make the choice of whether this program is right for your business.

Electric Account Information

Select the Electric Utility for your account locations
 Ameren ComEd

Are you currently being served by an Alternative Electric Retail Supplier?
 Yes No, I’m still with the utility

My contract expires:

Account Number Service Address

If more space is needed please use Attachment A


(Signature)


(Name, printed)


(Title)


(Telephone Number)


(Company)


(Billing Street Address)


(City, State, Zip Code)


(email address)

Attachment A

Account Number Service Address