New York State Electricity Enrollment Form

Enroll me in the ESPI electricity savings power pool plan. By signing this form I authorize Niagara Mohawk to release all my electric usage and payment history information to Energy Services Providers, Inc.


Fax this page toll-free to (800) 851-4168
or call us at (866) YES-ESPI that is (866) 937-3774 or 24 by 7
at (518) 533-2345


Customer Name:

_________________________________

Address __________City ______ State __ Zip Code ____

Telephone: (__) __ _____

_______________________	___________	______________________
Signature	Date	Please print name and title of person signing

                               
Account Number(s) - your ten digit account number(s) are on your bill(s) or available by calling 1-800-NIAGARA

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