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{{BrokerName}} {{CampaignMiddle}}  {{CampaignName}}

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I consent to be contacted by, or on behalf of, Gexa Energy at the telephone number provided above regarding product and service offers, including contact initiated through auto-dialed calls, text messages, and calls that use an artificial or pre-recorded voice. I understand that I do not need to give this consent in order to purchase goods or services from Gexa Energy and my consent may be revoked at any time.

I authorize Gexa Energy to share my customer information with its affiliates and third party providers for marketing and sale purposes. Gexa Energy's affiliates and third party providers are authorized to contact me regarding product and service offers.

Service Address Locations

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{{r.DisplayPrice}} ¢/KWH
{{r.Term}}-Month
Select Term

Service/Billing Address

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{{addr.ServiceStreet1}} {{addr.ServiceStreet2}}
{{addr.ServiceCity}}   {{addr.ServiceState}}  {{addr.ServiceZipCode}}

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Customer DETAILS

Customer Name: {{CompanyNameHeader}}
Contact Name: {{ContactNameHeader}}
Title : {{TitleHeader}}
Phone Number : {{PhoneNumberHeader}}
Email : {{EmailHeader}}
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PLAN DETAILS

Business Saver

Term: {{RequestTerm}} Month
Rate: {{RequestPrice}} ¢/KWH
Service Start: {{RequestStartDate}}
Step 4Credit Check

Customer DETAILS

Customer Name: {{CompanyNameHeader}}
Contact Name: {{ContactNameHeader}}
Title : {{TitleHeader}}
Phone Number : {{PhoneNumberHeader}}
Email : {{EmailHeader}}
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PLAN DETAILS

Business Saver

Term: {{RequestTerm}} Month
Rate: {{RequestPrice}} ¢/KWH
Service Start: {{RequestStartDate}}

Please read terms and conditions before signing the contract