The Palm Desert Energy Partnership Energy Survey Sign Up Form

This is a completely "at no cost" offering and does not require any obligation on your part.

The survey may include "at no cost" replacement items such as:

Low Flow Shower Heads
Faucet Aerators
Compact Fluorescents
LED Night Lights
HVAC Tune-ups

Simply fill in the required information below and click “Sign Up”. A service representative will contact you to
schedule an appointment to visit your home. The survey will take about 1 hour of your time and will be
very informative.

First Name:*

Last Name:*

Address (Street Number):*

Address (Street Name):*

City:

State:

Zip Code:

Phone Number:*

Alternate Phone Number:

Email Address:

SCE Acct. Name (From Bill):

SCE Service Acct. Number (From Bill):

So. CA Gas Co. Acct. Name (From Bill):

So. CA Gas Co. Service Acct. Number (From Bill):

Promo Code:

How did you hear about this Program?

Notes:

* - Required field

Š2008 Palm Desert Energy Partnership. Trademarks are property of their respective owners. All rights reserved. The Set to Save Program is funded by California utility customers and administered by Southern California Gas Company and Southern California Edison under the auspices of the California Public Utilities Commission.