Clearview Energy - Customer Details

Account Setup

About You

First Name *

Last Name *

Phone Number *

I agree to receive text messages.

Alternative Phone Number

Email Address *

Separate multiple email addresses by using a semi colon (;).If email address is not provided, please select Mail for billing preference

Date of Birth *

Language Preferences *

Where would you like service?

Street Address *

or

ESI ID *

Move-In

Switch

Start Date *

Credit Check

To begin service, I authorize Clearview Energy to perform a credit check. I understand that a deposit may be required to start my new service.* Why do we run credit checks? Why do we run credit checks?

Social Security Number

By bypassing entering in your social security number, you will be assessed a $200 deposit, which is required to be satisfied before service can begin.

Create a 4 Digit PIN *

Preferences & Billing

Billing Details

Same as service address

Street Address *

Unit

City *

State *

Zip Code *

How would you like to receive all communications?

IF selecting email, you authorize Clearview to send all legally required documents to the email address provided, including (but not limited to): Adverse Credit Notices, Bills, Contract-Related Notices, Deferred Payment Plan Agreements, and Disconnection Notices.

Autopay Setup

Would you like to set up autopay for this account?

Yes

No

Name on Account *

Credit Card #*

CVV/CID *

Exp Month *

Exp Year *

Same as service address

Billing Address *

Unit

City *

State *

Zip Code *

By selecting this box, I acknowledge that I have read, understand, and printed and/or saved Clearview Energy’s Payment Terms and Conditions specific to the automatic payment program

I agree to participate in Clearview Energy’s automatic payment program.I grant Clearview Energy and my credit card company with the authority to charge my account each month for the full amount of my monthly invoice. I understand and agree that a) this authority is for the credit card I set up under the Automatic Payment Program and is to remain in effect until cancelled online, verbally, or in writing by Clearview Energy, my financial institution, or myself; b) each monthly invoice provided to me by Clearview Energy will serve as a notice of the amount that will be charged to my credit card prior to the invoice due date for that month; c) and that the amount of each monthly payment that Clearview Energy will charge to my credit card will vary. Please feel free to contact Clearview Energy at 1-800-746-4046.

Authorized User ( Optional )

Authorized User Name

Phone Number

Authorization

Agree to Terms

By selecting this box, I understand that enrollment for service can be made only by an applicant or applicant’s authorized agent. I certify that I am 18 years or older and legally authorized to select Clearview Energy as my Retail Electric Provider (REP) for the service address entered in this enrollment. I authorize Clearview Energy to become my REP and to act as my agent to perform the tasks necessary to establish my electric service account and switch my service from a different REP, if applicable. If I am switching to Clearview Energy from another REP, I understand that I have the right to rescind this agreement without penalty within three (3) federal business days by calling Clearview Energy at 1-800-746-4046 or by emailing CustomerService@ClearviewEnergy.com with name, address, phone number, and recession request. All authorizations provided by me will remain in effect for the term and, if applicable, the renewal term of this agreement. At any time, my authorization may be rescinded by me by contacting Clearview Energy. I acknowledge that I have read, understand, and printed and/or saved the Terms of Service and Electricity Facts Label (“Agreement”) applicable to my select product. Clearview Energy will send your agreement to the email address provided or mail a hard copy along with your Welcome Letter. If you want an additional copy mailed to you at any time, please feel free to contact Clearview Energy at 1-800-746-4046.