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FAQ
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Name*

First Last

Please note anyone other than the owner who is authorized to speak on their behalf about the property.

Name*

First Last

Home Address*

Street Address City State ZIP Code

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Phone

Phone*

Email*

Is your home a Single Family Home?*

Yes

No

Do you pay for Natural Gas at your home?*

Yes

No

Do you pay for Electricity at your home?*

Yes

No

Is this your primary residence?*

Yes

No

How did you hear about us?*

Social media

Mail

Email

Recommended by organization (city, non-profit organization, etc.)

Recommended by someone (friend, colleague, etc.)

Search Engine (Google, Bing, etc.)

Participation in another CenterPoint program

Event

Other (please specify)

Other description

Consent*

I agree to allow CenterPoint Energy to obtain my account information and to share that information with other organizations and other relevant services. I verify that, to the best of my knowledge, all information on this application is correct.

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Signature

Email

This field is for validation purposes and should be left unchanged.

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