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MEGA Participation Authorization

Yes, we are interested in procuring energy supplies and services through the Municipal Electric and Gas Alliance ("the Alliance").

In signing below, we are indicating our consent and authorization:

1. For our electric and/or gas utilities to provide data (which will be kept confidential) about our energy usage and costs that may be requested by the Alliance, its consultants (Energy Next, Inc.), and/or selected suppliers;

2. For the Alliance to include our name listed as a potential power purchaser for the purposes of supporting competitive bid documents to be issued by the Alliance to providers of energy supplies and services.

NOTE: The execution of this "Intent to Participate" is NOT a commitment by you or MEGA, nor an obligation by you to contract for electricity or natural gas through or in conjunction with the Alliance. No commitment or obligation will be required until a pricing offer and agreement is presented to you and accepted by you. MEGA is a non-profit municipally based corporation serving participants in six New York counties that exists to aggregate customer purchasing power for electricity and natural gas and to advocate for the interests of our participants. MEGA is not an energy services corporation (ESCO). MEGA is not a cooperative. The submission of this form does not require the payment of any fees. Your participation in MEGA does not offer you voting membership on activities of this corporation.

1. Basic Contact Information

Name or Organization:*
Address:
County:
City:
State:
Zip:
Contact person:
Title:
Phone:
Fax:
E-mail:*
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2. Electrical Supplier Information


The following information may be obtained from your monthly bill.

Electric Utility
Electric Supplier
Account Number(s):

(NYSEG Customers provide POD#)

Service Location(s):

(Only if different from above)
 

Service type:

(Municipal, Commercial, or Residential)

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3. Gas Supplier Information


The following information may be obtained from your monthly bill.

Gas Utility
Gas Supplier
Account Number(s):

(NYSEG Customers provide POD#)

Service Location(s):

(Only if different from above)

Service type:

(Municipal, Residential, or Commercial)

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If you have too many accounts to fit on this form, or you would prefer to fill out the form and mail it to us, you may use the PDF version, otherwise, click the Submit button below.