Company Name:

Company Address:

City, State Zipcode:

Contact Person's Name:

Contact Person's Phone:

Contact E-Mail:

Business Description (I.E. Office Building):


Facility Square Footage:


The Utility Company serving the facility:


If your building is faced with an imminent brownout or blackout what electrical equipment would you shut down (i.e. lighting, escalators, elevators, chillers, etc.)?


List electricity supplier, master account numbers and relevant utility account number(s) and utility rate class if possible (i.e. Con Ed SC9):


Are you currently involved with any demand side curtailment programs? If yes, what program(s) & with whom?


What past experience have you had with demand side curtailment programs?


Questions & Comments:

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