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Agent Form
Agent Enrollment Form
Please complete the enrollment form with the customer on the phone.
1
ENROLLMENT
2
DISCLOSURE
AGENT ID
Agent Name
Hidden
Agency ID
Hidden
Hidden Spacer
Hidden
Hidden Spacer
RATES
Brand
Ranchero Power
Southern Federal
Name Of Plan
Hidden
Product Plan
Centerpoint 12
- RANCHERO CHOICE 12
Centerpoint 24
- RANCHERO CHOICE 24
Oncor 12
- RANCHERO CHOICE 12
Oncor 24
- RANCHERO CHOICE 24
Hidden
Utility
CenterPoint
Oncor
AEP Central
AEP North
TNMP
FIXED RATE - 6
Price Per kWh
$0.071
6 MONTH TERM
Lock-in this great rate for 6 months and enjoy price stability.
Stability Price For 6 Months
NO Deposit Required
Low Monthly Service Fee
In-House Customer Service
Terms of Service (Fixed Plan)
Get Started >>
FIXED RATE - 12
Price Per kWh
$0.056
12 MONTH TERM
Lock-in this great rate for 12 months and enjoy price stability.
Stability Price For 12 Months
NO Deposit Required
Low Monthly Service Fee
In-House Customer Service
Terms of Service (Fixed Plan)
Get Started >>
FIXED RATE - 24
Price Per kWh
$0.031
24 MONTH TERM
Lock-in this great rate for 24 months and enjoy price stability.
Stability Price For 24 Months
NO Deposit Required
Low Monthly Service Fee
In-House Customer Service
Terms of Service (Fixed Plan)
Get Started >>
Average Monthly Usage
500 kWh
1000 kWh
1500 kWh
2000 kWh
Average Price Per kWh
12.3 cents
11.4 cents
11.1 cents
10.9 cents
Fixed / Variable
Fixed
Energy Charge
$ 0.070833
Term Length
12 Months
TDU Delivery
$0.036789
Cancel Fee
$ 249
TDU Monthly Charge
$ 4.39
Monthly Charge
$ 4.59
This Product's Renewable content
6%
Taxes
1% to 2%
Average Monthly Usage
500 kWh
1000 kWh
1500 kWh
2000 kWh
Average Price Per kWh
12.3 cents
11.4 cents
11.1 cents
10.9 cents
Fixed / Variable
Fixed
Energy Charge
$ 0.070833
Term Length
12 Months
TDU Delivery
$0.036789
Cancel Fee
$ 249
TDU Monthly Charge
$ 4.39
Monthly Charge
$ 4.59
This Product's Renewable content
6%
Taxes
1% to 2%
ESTIMATED USAGE - 500 kWh
Price Per 500 kWh
10.5 ¢
12 MONTH TERM
Lock-in this great rate for 12 months and enjoy price stability.
Stability Price For 12 Months
NO Deposit Required
Low Monthly Service Fee
In-House Customer Service
Terms of Service (Fixed P
Get Started >>
ESTIMATED USAGE - 1000 kWh
Price Per 1000 kWh
10.1 ¢
12 MONTH TERM
Lock-in this great rate for 12 months and enjoy price stability.
Stability Price For 12 Months
NO Deposit Required
Low Monthly Service Fee
In-House Customer Service
Terms of Service (Fixed P
Get Started >>
ESTIMATED USAGE - 2000 kWh
Price Per 2000 kWh
10.2 ¢
12 MONTH TERM
Lock-in this great rate for 12 months and enjoy price stability.
Stability Price For 12 Months
NO Deposit Required
Low Monthly Service Fee
In-House Customer Service
Terms of Service (Fixed P
Get Started >>
FIXED RATE - 6
Price Per kWh
$0.487
6 MONTH TERM
Lock-in this great rate for 6 months and enjoy price stability.
Stability Price For 6 Months
NO Deposit Required
Low Monthly Service Fee
In-House Customer Service
Terms of Service (Fixed Plan)
Get Started >>
FIXED RATE - 12
Price Per kWh
$0.0789
12 MONTH TERM
Lock-in this great rate for 12 months and enjoy price stability.
Stability Price For 12 Months
NO Deposit Required
Low Monthly Service Fee
In-House Customer Service
Terms of Service (Fixed Plan)
Get Started >>
FIXED RATE - 24
Price Per kWh
$0.0695
24 MONTH TERM
Lock-in this great rate for 24 months and enjoy price stability.
Stability Price For 24 Months
NO Deposit Required
Low Monthly Service Fee
In-House Customer Service
Terms of Service (Fixed Plan)
Get Started >>
CONTACT INFO
Name
First
Middle
Last
Primary Phone Number
Phone Type
Mobile
Home
Email
Enter Email
Confirm Email
Alternative Phone Number
Phone Type (Alternative)
Mobile
Home
Other
Date of Birth
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Notifications
I want to receive promotional information about products and services via text message.
Notifications will be sent via automated text message. Message and data rates may apply.
Add A Secondary Account Holder
YES
Name (Secondary Holder)
First
Middle
Last
Date of Birth (Secondary Holder)
Month
1
2
3
4
5
6
7
8
9
10
11
12
Day
1
2
3
4
5
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11
12
13
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19
20
21
22
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24
25
26
27
28
29
30
31
Year
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Preferred Language
English
Spanish
What Language would you like us to use for future communications?
Your Service Information
Service Address
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Reason for Enrollment
Move-in
Switch
Service Start Date
MM slash DD slash YYYY
Billing Information
Billing Information
My billing address is DIFFERENT than my Service Address
Billing Address
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Method Of Billing
Paper Billing Only
Electronic Billing Only
Both Paper and Electronic Billing
AFFIRMATIONS
Agree To The Following:
Customer Was Read The Affirmations
Use the info below to read
Disclosure-Form
attached to the Product.
