ComEd Exit Ticket Form

Date

Location

Utility Provider

Alternate Supplier

Building Type

Single Family2-4 UnitsOther

Contact Information

First Name

Last Name

Home Phone

Mobile

Email

Street Address

City

Zip Code

Q1. Please list two benefits of the smart grid:

Restores power faster and provides consumer access to more energy usage informationCleans the air and runs on batteriesCreates jobs and access to healthcare

Q2. You might be a good candidate for hourly pricing if you can run your dishwasher, washing machine, and dryer during what time of day?

MorningAfternoonNight

Q3. The two most effective energy upgrades you can make to your home are?

New windows and doorsAir sealing and insulationHigh speed internet and cable

Please check boxes below:

Yes, I'm interested in hosting a remote learning event for my network or organization.

Yes, I would like to host a House Party to share this valuable information with 5-10 homeowners and get a free energy assessment

Yes, I would like to talk to an Elevate advisor about enrolling in an electric pricing program

No, thank you

Please help us by explaining below why you do not want to take advantage of these programs

Useful Links

I would like more information or to enroll in ComEd's Peak Time Savings Program

I would like more information or to enroll in ComEd's Hourly Pricing Program

I would like more information or to enroll in Illinois Solar for All (ILSFA)

Like our Elevate Community Events Facebook page to stay up-to-date on upcoming

energy-saving events

ComEd Exit Ticket Form

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together