Midland Power Utility Company's peaksaver

Please call me to complete my enrollment in peaksaver and schedule an appointment for the no-cost installation of the web-enabled programmable thermostat that will manage my air conditioning during certain peak periods in the summer months.

Please fill out questionnaire below and submit it, or call 1-866-380-6051

* denotes a required field.
1. Are you the owner of a single-family home?*	YesNo
Note: if you answered no, you must get the owner's written permission to qualify for this program.
2. Do you have Central Air Conditioning?*	YesNo
Note: if you answered no to question #2, you do not qualify for this program.
3. Is your air conditioning unit a heat pump?*	YesNo
Note: if you have a heat pump, you do not qualify for this program.
4. Do you have an electric water heater?*	YesNo
If yes, may we include your water heater in the program as well?* YesNo

LDC Name:	Midland Power Utility Company
Account Name*:		Account Number*:
	(as it appears on your electricity bill)
Account Address*:
City*:		Postal Code*:
Daytime Phone*:		Evening Phone:
If you are unavailable for your appointment, may we install a *peaksaver* switch?*		YesNo