Please complete the following and return it to The Energy Cooperative in order to receive a rate analysis for your PECO Energy commercial electricity account. Signing this form provides access to your account information at PECO Energy in order to establish a rate quotation for your account(s). If you have any questions, please contact our office.

Dear PECO Energy Company’s Supplier Administration Group,
_________________________(company name) hereby authorizes The Energy Cooperative Association of Pennsylvania to obtain energy consumption and billing information related to the account(s) listed below with PECO Energy.

Please fax or email this information to:
Energy Cooperative Association of Pennsylvania
Attention: Commercial Accounts Specialist
Fax: 215-413-2140
ecapstaff@theenergy.coop

This letter serves as proof of the customer’s authorization for The Energy Cooperative to obtain the information outlined above and shall remain in effect for 12 months from the date of request.

Date_______________________

Customer Name______________________________________________________________

Customer Address____________________________________________________________

__________________________________________________________________________

Customer Account Number (s) __________________________________________________________________________

__________________________________________________________________________

Signature___________________________________________________________________

Name of Signer_______________________________________________________________
(please print)