Ill. Admin. Code tit. 83, pt. 412, subpt. D, app A
UNIFORM DISCLOSURE STATEMENT
Name:
Address:
Internet Address:
Phone and hours of operation:
This is a sales solicitation and the seller is (insert ARES Name), an independent retail electric supplier. If you enter into a contract with the seller, (insert ARES name) will be your retail electric supplier. The seller is not endorsed by, representing, or acting on behalf of, a utility or utility program, a consumer group or consumer group program, unless the ARES is, through the consumer group, offering services at prices, terms and conditions that are available solely to members of that organization, or a governmental body or program of a governmental body, unless the ARES has entered into a contractual arrangement with the governmental body and has been authorized by the governmental body to make the statements.
If you have any concerns or questions about this sales solicitation, you may contact the Illinois Commerce Commission's Consumer Services Division at 800-524-0795. For information about the price to compare (PTC)of your electric utility and offers from other retail electric suppliers, please visit PlugInIllinois.org.
Date:_____________________Agent Name ID:_____________________
Ill. Admin. Code tit. 83, pt. 412, subpt. D, app A