You are on page 1of 2

Business Program Ally Application

ThankyouforyourinterestinbecomingaProgramAlly! ProgramAlliesincludeelectricalormechanicalcontractors,architects,engineers,equipmentvendorsandmany otherswhoworkdirectlywithcustomersofOhioEdison,TheIlluminatingCompanyandToledoEdison (FirstEnergysutilities)toplanandimplementenergyefficiencyprojects. ThisformprovidestheinformationneededtoincludeyourbusinesscontactontheBusinessProgramswebsite. Youwillalsobeaddedtoourprogramdatabasetoreceiveregularannouncementsandupdates.

BUSINESSPROGRAMALLYSIGNUPFORM
CustomerInformation CompanyName: Address: ContactName: EmailAddress: Website: Phone: City: Title: CellPhone: City: Fax: State: Zip:StateZip: State: Zip:StateZip:

IsyourbusinessaMinorityandWomenOwnedBusiness?YesNo Ifso,doyouwantyourMWOBstatusincludedinyourcontactinformationlisting?YesNo Howdidyouhearabouttheprogram?ProgramContactUtilityContactCustomerDirectMailMassMedia SeminarOther_______________________________________________________

BusinessInformation
Architect ContractorElectrical ContractorMechanical Consultant Retailer Distributor Engineer Manufacturer ManufacturerRepresentative Other_________________________________
(Pleaseindicateallthatapply)

UtilityTerritoryServed
(Pleaseindicateallterritoriesinwhichyouofferservices)

OhioEdison ToledoEdison TheIlluminatingCompany

Services

(Pleaseindicateallthatapply)

CustomerTypes

BuildingDesign Commissioning CompressedAirSystems Controls EnergyAnalysis FoodserviceEquipment Grocery

HVAC Insulation Lighting Motors/Drives Plumbing Windows Other(Specify)___________________________

NotforProfit Multifamily Commercial Industrial Government(State,CountyorMunicipal) Institutional Federal Other__________________________________

Questions: Contact the FirstEnergy Business Program representatives at energysaveohio@saic.com.

Rev21

Business Program Ally Application


GENERALPROGRAMALLYRULES TheinformationonthisformwillbepostedontheProgramAllylistontheBusinessProgramswebsite,hostedbySAIC,unlessyouindicate belowthatyoudonotwantyourbusinesstobeincluded. Yes,pleaseincludemybusinessinformationintheProgramAllylist. No,pleasedonotincludemybusinessinformationintheProgramAllylist. BysigningthisProgramAllyregistrationform,youagree: YourbusinessparticipationinallbusinessprogramsfromFirstEnergysutilitieswillcomplywithallpublishedprogramguidelinesas foundonallprogramapplicationforms. ThedesignationofProgramAllydoesnotconstituteanendorsementoftheProgramAllybyFirstEnergysutilitiesorSAIC. UseoftheFirstEnergynameandlogo,FirstSourcetagline,andtheSAIClogobyProgramAlliesandprogramparticipantsisprohibited. Toabidebyallapplicablelaws,buildingcodes,andlicensingagreements. Participationintheseprogramsisvoluntaryandmaybeterminatedbyeitherpartyatanytimeorforanyreasonwithoutpenalty. Submissionofthisformand/orlistingontheprogramwebsiteisnotaguaranteeofworkoranendorsement,anddoesnotgiverisetoany obligationtoaProgramAllybyeitherFirstEnergysutilitiesorSAIC.NeitherSAICnorFirstEnergysutilitieswillsolicitorprovidedirect compensationtotheparticipatingProgramAlliesfortheirservicesonaFirstEnergyutilitycustomersbehalf.FirstEnergyutilitycustomersmay usethecontractor,productorserviceprovideroftheirchoice,regardlessofwhethertheindividualorfirmisontheProgramAllylist.The ProgramAlliesmayenterintodirectandindependentcontractswithFirstEnergyutilitycustomers. BysigningbelowIagreetocomplywiththeOhioBusinessProgramrulesandguidelines. SIGNATURE: DATE: _______________ PRINTNAME: TITLE: _______________

Reset Form Submit INSTRUCTIONS:AfterclickingSubmitabove,ifanewemailmessageappearswiththiscompletedformattached,simplyclick Sendandyouredone.Youcanthensaveacopyofthecompletedformtoyourharddriveifyouwish. Ifanewemailmessagedoesnotappear,youllneedtosavethiscompletedformtoyourdesktop,thencreateanewemail messageaddressedtoenergysaveohio@saic.com,attachthefileyoujustsaved,thensend.

ToMailorFax: FirstEnergyBusinessProgram ProgramAllyCoordinator 8870DarrowRoad SuiteF106243 Twinsburg,OH44087 Fax:4402016936

Questions: Contact the FirstEnergy Business Program representatives at energysaveohio@saic.com.

Rev22