Organization name
*
Name of authorized representative
*
The person who is submitting the form on behalf of the organization
Estimated # of kWh per year requested for organization
*
Example: 25000
Email of primary contact
*
example@example.com
Phone of primary contact
*
By submitting this form, you agree to allow PGE’s Customer Service and Business Development Department or PGE’s Rates and Regulatory Department to release and share with personnel in PGE’s Customer Mass Programs Department or its third party contractor, your electric billing information and other pertinent historical electrical data.
*
I agree
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