Apply Now – Centerpoint SRC

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Company

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Lower energy costs in qualifying properties.

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Name*

First Last

Please note anyone other than the owner who is authorized to speak on their behalf about the property.

Name*

First Last

Property Owner Address*

Street Address City State ZIP Code

County*

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Phone

Phone*

Email*

Rental Property Information

Street Address City State ZIP Code

Type of Property*

Single Family

Duplex

Triplex

Fourplex

Section 8*

Yes

Do you have natural gas service provided by CenterPoint Energy?*

Yes

Do you pay for Electricity at this property?*

Yes

Do you reside at this property?*

Yes

May we contact/follow up with current tenant(s)?

Yes

Do you want to add a second property?

Yes

How did you hear about us?*

Social media

Mail

Recommended by organization (city, non-profit organization, etc.)

Recommended by someone (friend, colleague, etc.)

Search Engine (Google, Bing, etc.)

Participation in another CenterPoint program

Event

Other (please specify)

Other description

Consent*

I agree to allow CenterPoint Energy to obtain my account information and to share that information with other organizations and other relevant services. I verify that, to the best of my knowledge, all information on this application is correct.

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612-870-4255
CNPCIP@SRC-MN.org
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