Tell us a little about you

First Name

Last Name

Phone Number

Relationship to Account Holder

Service Address

Address

Suite Apartment #

City

State

Zip Code

Mailing Address

Address Suite Apartment # City

State

Zip Code

Account Number

20 digit customer number located on the right hand columns under Charges from Med-Ed; omit spaces and special characters when entering

Check this box if you don't have your Account Number at the moment.
We'll send an email with the steps you can take to complete your order.

Authorizing Your Service

Relationship to Account Holder

Account Holder First Name

Energy Plan Disclosures

Authorization

Yes, I am authorized to make changes on this account and I am at least 18 years of age.

I allow Clearview and its contractors or affiliates to contact me at the email address I provided in this enrollment. I understand that I can revoke this consent at any time.

I allow Clearview and its contractors or affiliates to contact me at the phone number I provided in this enrollment. Contacts by Clearview may be made using automatic dialers, text messaging, or prerecorded messages. I understand that I am responsible for any charges by my cellular phone carrier that may result from such contacts. I understand that I can revoke this consent at any time.

I am an authorized person to request service for the selected location. Any Enrollment request including move-in or a switch can only be made by the service applicant or the applicant's authorized agent. If you are not an authorized individual, please do not submit your request using this portal.

I verify that I have not received any financial assistance in the last (12) months from any assistance program.

I verify that all information is correct, and that I have authorization to change this account. I understand that electronic acceptance of the sales agreement and terms of service is an agreement to initiate service and begin enrollment.

Authorization Signature

Enroll to switch your energy supply to Clearview Energy