Enrollment Application

Your Selected Plan

Plan
Rate: /
Company:

* required field

Account Information

The following information can be found on a recent utility bill.

Account Number *

Please verify that the number entered is correct.

Service Address

Company Name (if applicable)

First Name *

Last Name *

Street Address *

Address 2

City *

State *

Zip *

Email *

Verify Email *

Primary Contact Phone Number *

I would like to receive marketing promotions about products and services from Volunteer Energy.

How did you hear about us? *

Sales Rep Name (if applicable)

VIEW TERMS AND CONDITIONS

I have read and agree to these terms and conditions. Execution of this Agreement signifies my desire to be a customer of Volunteer Energy Services, Inc. (VE). I agree to the ENERGY SUPPLY TERMS AND CONDITIONS that are incorporated herein by reference. I appoint VE as my agent and authorize VE to obtain usage history from my utility company. *

Signature *

Please add your signature using the cursor or use your finger to sign on a touch screen.

(If you're on a smartphone, we recommend turning your phone sideways so that the signature area is larger!)