First Point Energy Supply

Customer Application

Company

Primary Contact

You can add more contacts after your account is approved.

Address

Used as both billing and shipping. You can add a separate shipping address after approval.

Tax & Shipping

Terms & Conditions

The information provided in this application is accurate and submitted for the purpose of setting up a customer account with First Point Energy Inc. All information will be kept confidential.

We will use the information provided to set up and manage your account and maintain our working relationship, in accordance with our privacy policies, which may be updated from time to time.

By checking the box and printing your authorized name below, the applicant agrees to keep all pricing information strictly confidential and will not disclose it to any third party without prior written consent, and certifies that the information provided in this form is accurate and complete to the best of their knowledge.