* Required field Please print your name as it appears on your bill. First Name Last Name Address Address Line 1 Address Line 2 City State ZIP Code Email Phone Number Account Number What type of home do you have? Single family Apartment Manufactured home What type of fuel do you use to heat your home? Electric Gas Propane Other What type of fuel do you use for water heating? Electric Gas Propane Other What year was your home built? What is your home’s square footage? Do you currently have a smart thermostat? Yes No Which energy-saving products would you like to receive at no charge? Smart thermostat Kitchen faucet aerator Bath faucet aerator Showerhead Window and door weatherstripping Door sweep
