Agent Enrollment Form – TPV Summary
Below is the enrollment summary for TPV.
FIELD | VALUE |
---|---|
Retailer | |
First Name | |
Middle Name | |
Last Name | |
Service Address | |
Service Address (Line2) | |
City | |
State | |
Zip Code | |
Date Of Birth | |
Utility | |
Product Name | |
ETF | |
Term Length | |
Start Date | |
Average Rate | |
Energy Charge | |
Base Charge | |
Agent ID | |
Agency ID | |
ESI-ID | |
Primary Phone Number | |
Language Preference |
TPV Options
Trusted TPV
Dial Number:
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TPV Code:
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