Welcome to our Easy Form. Using your utility bill as a guide, please complete the following form to finalize your enrollment process. ENROLLMENT FORM 2 1 Enter Your Contact Information2 Enter Your Account Information Bonus OfferSpecial Offer! Your Service Area qualifies you for our Green Bonus Offer. Upgrade your plan below to our Green Energy Plan and reduce your carbon footprint. Imagine powering your home with 100% wind!Add 100% Green Energy*Yes! Upgrade My Plan To 100% Green.No thank you. Keep my current plan selection.TEST URLThank you for entering your Promo Code. Dear customer, the rate you have chosen is currently only available for New Customers. Please choose from one of our other great plans. Account NameTitleSelect OneMr.Mrs.Ms.Company Name*Name* First Last Contact* First Last Email* Please use a primary email address. Important enrollment and account information will be sent via email. Service AddressRelationship Of Other User?Select OneSpouseParentFriendSon / DaughterOtherService Address* Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code BILLING ADDRESS Check if you have a different Billing Address Telephone*Business Phone*Billing AddressCustomer Type (Billing)ResidentialCommercialCompany Name (Billing)Name (Billing) First Last Billing Address* Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Language PreferenceEnglishSpanishAbout YouWe want to provide you with the best service possible! Help us better understand your needs by answering the following optional questions. Do you Own or Rent?OwnRentHousehold Energy Usage1 - 2 people3 - 5 people6+ peopleHow Did You Find Us?Select OneWebsiteSearch EngineMailerFriend / FamilyPhone CallEmailRadioOtherAre You Interested In Renewable EnergyYesNoWhat Is Most Important To You?Short Term FlexibilityLong-Term StabilityUtility InformationUsing your utility bill Please fill out your account information below. I Don't Have My Bill Show Me My Options Don't have your utility bill? No problem! We can remind you within 24 hours and help you sign-up. Send Me A Reminder By: Email Telephone Utility Account InformationAvoid delays in the processing of your application! Please ensure that your account information matches exactly as shown on your current bill. IMPORTANT NOTICE: If you are already a Town Square Energy customer submitting a rate change please note,that as per your State regulations, your new rate will take effect in 1 or 2 billing cycles. The timing depends on your next meter read. UI Customer Name Key*These are 2 to 4 LETTERS found on your bill.UI POD Number*Where is this on my bill? (13 digit Number) Please enter POD Number (Not the same as Account Number)Eversource Account Number*Where is this on my bill? (11 digit Number)Eversource Service Ref. Num.*Where is this on my bill? (9 digit Number - Above the Meter Number)Eversource Customer Name Key*These are 2 to 4 LETTERS found on your bill.NGrid (MECO) Account Number*10 Digit Number - See Page 1 of bill. (Where is this on my bill?)NGRID (NEC) Account Number*10 Digit Account NumberNGRID (RI) Account Number*10 Digit Account NumberNGrid (RI) - Cycle Number*2 digit number. Unitil (FG&E) - Cycle Number*2 digit number. Unitil (NH) Account Number*Where is this on my bill? (10 digit Number)CT TEST Account Number*Unitil (FG&E) Account Number*Where is this on my bill? (10 digit Number)Eversource Account Number*Where is this on my bill? (11 digit Number)Eversource Service Ref. Num.*Where is this on my bill? (9 digit Number)WMECO Account Number*Where is this on my bill? (11 digit Number)WMECO Service Reference Number*Where is this on my bill? (9 digit Reference Number)NSTAR Account Number**Are You An Existing Customer?*I am a new customerI am an existing customerIf you are an existing customer, you can also call our toll free number and we can sign you up right away! NotificationsNotifications are very important! We want to make sure you're well informed about upcoming changes to your plan.Select Notification Email Mail Telephone SMS SMS TelephonePlease enter the telephone number you would like us to notify you by Text Message.Select Notification*EmailMailMailing Address for Notifications* Service Address Billing Address We see that you you have also supplied us with a Billing Address. Please choose if you would like Mail Notifications to be sent to Service Address, Billing Address, or both (Service Address is the default).AuthorizationCommunicationI allow Town Square Energy and its contractors or affiliates to contact me using email, text or telephone from the information that I provided in this enrollment application to determine my eligibility for enrollment in the Town Square Energy generation services offering listed on the application web page. Contact may include the use of automatic dialers, text messaging, or prerecorded messages. I understand that I can revoke this consent at any time.Historical Usage*I authorize Town Square Energy to request, from my current utility, account information including, but not limited to, historical usage, rate class, revenue class and any other relevant information that is required to verify eligibility for the generation or supply plan or rate described in this enrollment. Further to this, I acknowledge that, based upon the information returned by the utility company, at Town Square Energy’s sole discretion, I may not qualify for the plan or rate presented. Should this occur Town Square Energy would contact you by the method identified in the application discuss alternate generation or supply plans that fit your particular situation.AuthorizationI confirm that I am the account holder or authorized by the account holder to make changes to this account(s). I understand that by submitting this application, if eligible, I agree to initiate enrollment and service with Town Square Energy. I also Agree to the Terms of Service and have viewed the Customer Service Plan and the Disclosure Label.Responsibilities*I acknowledge that if I do not pay in full the charges for Town Square Energy generation or supply services and my Utility’s delivery charges, my Utility may disconnect me under the terms of the Utility's tariffs. I shall continue to be responsible for all charges and fees incurred under the terms of this Agreement. This Agreement allows Town Square Energy to obtain credit and other information necessary to collect any unpaid balance not collected by the Utility. I also acknowledge that I will be responsible to pay any costs, including reasonable attorney’s fees, incurred to obtain full payment owed to Town Square Energy.Agree to Terms*I confirm that I am the account holder or authorized by the account holder to make changes to this account. I understand that by submitting this electronic application, I agree, if eligable and accepted by Town Square Energy, to initiate enrollment and service with Town Square Energy. I Agree to the Terms of ServiceNotify my Utility*I agree to allow Town Square Energy to notify my utility company within the next business day about my selection of Town Square Energy as my supplier.Usage History*Yes, I allow my Commercial Historical Usage to be reviewedCommercial rates quoted are indicative and depend on your company's energy consumption profile. By completing this sign-up form, you grant permission to Town Square Energy to request your electricity usage history from your local distribution company. Using these results, we will approve and finalize a rate for your business, which will be communicated to you using the contact information you provide in this form. If you need to speak with a Town Square Energy commercial representative, please dial 1-877-430-0093, and select extension 701 or 702. We are here to help.Credit Score*Your request for our product requires us to review your credit score. We do not retain your credit information, and your credit score will not be affected by our review. By submitting this application, you are consenting to a credit bureau for the purpose of acquiring our product.If your credit score does not meet our minimum requirement, a $100 deposit will be required. If you have any questions, please feel free to contact us.Program CodesPROMO CODEIf you have received a Promo Code by mail or email, please enter it here. This field is not requiredNEW! Natural Gas PlansLooking for Natural Gas Plans? Great News! Click below If you are interested in being contacted by our sister-company offering great prices on Natural Gas plans in your service area. Permission To Call Me Yes! Please call me with more information about Natural Gas! PhonePlease enter the Phone Number you'd like us to call. BONUS - Solar OpportunityHave you ever considered going SOLAR? Great News! There has never been a better time to go solar than now! Based on your Service Address, your location is eligible for our Solar Program. There are a limited number of spots available. A solar installation on your home can significantly lower your electricity bill by offsetting your consumption with the generation of your new system. If you would like us to contact you with more information, please fill out the information below. Permission To Call Yes! Please call me with more information about Solar. Best Time to Call*Morning (9am to Noon EST)Afternoon (Noon to 5pm EST)Evening (5pm to 7:30pm EST)Please enter the best time of day to reach you on.Property OwnershipPlease Choose...RentOwnDo you Own or Rent the property of the solar installationElectricity UsagePlease Choose...Under $100/MonthOver $100/MonthHow much do you spend on Electricity a monthThank you for considering a solar Installation. You are taking the first step in creating a brighter future and greater savings. Please allow up to 5 business days for a Town Square Energy agent to contact you. Thank you for taking the time to fill out our form. When approved, your service will begin automatically without needing to contact your current supplier.If you require a specific Start Date, please enter that Start Date below. This is not a required field and can be left blank. PhoneThis field is for validation purposes and should be left unchanged.