Installing member application

Your business 1

Your customers2

Your certifications 3

Acknowledgement 4

*Required field

Contact information

Please provide the name, title, email address and phone number for the primary energySMART contact at your company.

*Primary energySMART contact

*Name

*Title

*Email address

*Phone

Counties served

*Please select all counties your business serves.

Available counties

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Selected counties

Customer types served

*Please select all customer types your business serves. (Check all that apply)

Residential (Single family and 2-4 unit multi-family)
Multi-family (5+ unit buildings)
Small commercial (Businesses using <60,000 therms annually)
Large commercial (Facilities using ≥ 60,000 therms annually)

Employee licenses and accreditations

Please select all licenses and accreditations your business/employees hold. This information is subject to verification. You may be asked to send a copy of your certification as proof.

Available

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Selected

Diverse supplier status

Please select all diverse supplier certifications for which your business qualifies. This information is subject to verification. You may be asked to send a copy of your certification as proof.

Available

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Selected

Not a certified diverse business, but think you might be eligible? Contact us at 877.886.4239 and we can connect you with our Supplier Diversity program for more information.

Emerging Technology opt-out

energySMART's Emerging Technology program works with customers, contractors, distributors and manufacturers to select and assess technologies that have the potential to generate natural gas savings. Participation in this program is optional.

By checking this box, you indicate that your business wishes to OPT OUT of hearing about participation opportunities in the Emerging Technology offering. Your business will not be contacted for any future Emerging Technology projects.

Terms and conditions

This application is subject to the Contractor Circle installing member enrollment requirements, participation requirements and terms and conditions. You can review the complete enrollment requirements, participation requirements and terms and conditions here.

By submitting this form, you agree on behalf of your company to the requirements and terms and conditions, and certify that information provided in this application is true and correct.

*By checking the box to the left and typing your name on the signature line below, you agree that you have the authority to legally sign on behalf of your company and this will have the same force and effect as an original signature.

*Signature

*Title

*Date

Contractor Circle installing member application

Company information

Contact information

Counties served

Customer types served

Residential products and services

Commercial customer segments

Commercial products and services

Employee licenses and accreditations

Diverse supplier status

Emerging Technology opt-out

Terms and conditions

Adams
Boone
Bureau
Carroll
Champaign
Cook - North of I-290
Cook - South of I-290
DeKalb
DeWitt
DuPage
Ford
Grundy
Hancock
Henderson
Henry
Iroquois
Jo Daviess
Kane
Kankakee
Kendall
Lake
LaSalle
Lee
Livingston
McHenry
McLean
Ogle
Pike
Stephenson
Tazewell
Vermillion
Will
Winnebago
Woodford