Company Name:

Street Address: 

Suite: 

Town or City: 

State:    Zip Code: 

Please be sure to fill in your information so that we can contact you.

Your Name: 

Title: 

Phone: 

We would like a little preliminary information about your company. Please fill in the blanks below. Don't worry if you don't have all the details:

Audit Type: Indoor-    Outdoor-

Building Type: (select one)
 Restaurant/Hotel/Motel              

 Supermarket/Grocery Store            

 Retail

 Office

 Schools/Universities

 Manufacturing

 Hospitals/Medical

 Other Please describe your business:

Your Electric Utility:

Rate Code:   

Square Footage of Facility: 

Total Number of Hours in Operation:
Annually:       Weekly:

If you would prefer to fax this form to us, press the "Print" button
on your browser, complete the form and then fax it to us at (585) 249-1361.
You can also mail this completed form to:
  Power Management Company, 1600 Moseley Road, Victor, NY
All information will be held in strict confidence and will not be shared with any other company.