Please enable JavaScript in your browser to complete this form.Offer Due Date / TimeDateTimeCompany DetailsTrading NameCompany Name *ABN *AddressAddress Line 1Address Line 2CityState / Province / RegionPostal CodeAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBolivia (Plurinational State of)Bonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCongo (Democratic Republic of the)Cook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Kingdom of)EthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIran (Islamic Republic of)IraqIreland (Republic of)Isle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea (Democratic People's Republic of)Korea (Republic of)KosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia (Federated States of)Moldova (Republic of)MonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth Macedonia (Republic of)Northern Mariana IslandsNorwayOmanPakistanPalauPalestine (State of)PanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint Maarten (Dutch part)SlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyrian Arab RepublicTaiwan, Province of ChinaTajikistanTanzania (United Republic of)ThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited Kingdom of Great Britain and Northern IrelandUnited States Minor Outlying IslandsUnited States of AmericaUruguayUzbekistanVanuatuVatican City StateVenezuela (Bolivarian Republic of)VietnamVirgin Islands (British)Virgin Islands (U.S.)Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland IslandsCountryIndustrySelect from belowAgriculture, Forestry & FisheriesMiningManufacturingElectricity, Gas & Water SupplyConstructionWholesale TradeRetail TradeAccommodation, Cafes & RestaurantsTransport & StorageCommunication ServicesFinance & InsuranceProperty & Business ServicesPrivate Community ServicesCultural and Recreational ServicesPersonal & Other ServicesOther IndustryContact DetailsContact Name *FirstLastThe primary contact is the company’s representative who can authorize Real Assets to work with suppliers and networks for its energy utility needsContact Email *What is the estimated range of your total energy costs$0 – $50,000 per year$50,000 – $100,000 per year$100,000 – $200,000 per year$200,000 – $300,000 per yearmore than $300,000 per yearAre you satisfied with your current energy provider? Selected Value: 0 Please select a number between 0 – 10. With 0 being completely dis-satisfied and 10 being completely satisfied. Do you know when your existing energy provider contract is due for renewalYesNoIf known please provide the date of the contact renewal* Commercial contract will typically end on the start of the monthDo you currently have a Direct Meter Agreement to manage energy usage YesNoUnsureWhat term an energy contract are you seeking?1 year (minimum)2 year3 yearmore than 3 years* If you are seeking more than three years, please indicate in the comments box below what your ideal term would be and any special conditions you may seek, such as a 3 year contract, with option to extend for 2 years.If you are seeking multi-year pricing, what kind of billing pricing would you prefer Stepped PricingSecond ChoiceThird Choice* Stepped pricing would be a separate price per year based on future energy costs each period * Smoothed pricing would be an average price per year based on forecast pricing across all periods.Please note any special terms and conditions you would wish to have included in the energy contract* This would include whether you would have any Load Flex requirements, specific payment terms (14 day or 30 day), etc. Submit