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Company Information
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Company Name
(legal entity)
:
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Address:
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City:
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State:
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ZIP Code:
Contact Information
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First Name:
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Last Name:
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Title:
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Phone Number:
(Include Area Code)
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e-Mail Address:
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How would you like us to contact you?
Phone
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How did you hear about Ameren Energy Marketing (AEM)?
Select One
Direct Mail
Internet Search
Contacted by Phone
Referral
Illinois Commerce Commission
Utility Supplier List
Current/Former AEM Customer
Utility Service Information
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Select the service territory(ies) where your facility(ies) is located:
AmerenCILCO
AmerenCIPS
AmerenIP
Commonwealth Edison
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Select the option that describes your average monthly electricity bill:
Less than $20,000
$20,000-$75,000
Greater than $75,000
*
Historical electricity usage data is required. You may provide your account/meter numbers or fax a copy of your most recent electric bill to 309.677.5594.
Electric bill faxed
Enter account/meter numbers
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Account Number
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Meter Number
(only one required)
Select if you have more than 6 accounts.
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If you have questions, contact us at 1-888-451-3911