Electricity Broker/Consultant QuestionnaireFull Business Name*Main Contact*Phone*Email* Legal Address Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Website How many years in business under this name and ownership?*Total number of employees and contractors (1099 relationships)?States in which you do business?*What % of your electricity business is in Illinois?*Make Your Selection0%20%40%60%80%100%What % of your electricity business is in Maryland?*Make Your Selection0%20%40%60%80%100%What % of your electricity business is in New Jersey?*Make Your Selection0%20%40%60%80%100%What % of your electricity business is in New York?*Make Your Selection0%20%40%60%80%100%What % of your electricity business is in Pennsylvania?*Make Your Selection0%20%40%60%80%100%What % of your electricity business is in Pennsylvania?*Make Your Selection0%20%40%60%80%100%What % of your electricity business is in Texas?*Make Your Selection0%20%40%60%80%100%How many annual MWh do you manage in your book of business?Please name the REPs or ESCOs that your organization has current relationships with:What % of your electricity business is booked at 300,000 annual kWh or below?*Make Your Selection0%20%40%60%80%100%What % of your electricity business is booked at 300,001 Annual kWh to 2,000,000 annual kWh?*Make Your Selection0%20%40%60%80%100%What % of your electricity business is booked at 2,000,001 annual kWh or above?*Make Your Selection0%20%40%60%80%100%Please describe any experience you have working with customers in the following areas – energy efficiency, demand response, energy management/building automation, solar, CHP, backup generation or electric vehicle solutions:
