CUSTOMER - REGULATED PRICE PLAN ELECTION FORM Your personal information is collected on this form by Niagara Peninsula Energy Inc. ("NPEI") under the authority of the Electricity Act, S.O. 1998, Chapter 15, Schedule A. Personal information will be used only for the purposes set out in the Niagara Peninsula Energy Inc. Privacy Policy. NPEI Privacy Policy Please fill out this form if you want to change the Regulated Price Plan (RPP) structure that applies to the Electricity line of your bill. There are two options: Time-of-Use and Tiered. Under Time-of-Use pricing, the price you pay for electricity depends on when you use it. Under Tiered pricing, you can use a certain amount of electricity each month at a lower price, and once that limit is exceeded, a higher price applies. For more information on Time-of-Use and Tiered Pricing and tools to help you decide which price structure is right for you, please visit www.oeb.ca/choice or https://npei.ca/customer-service/residential/customer-choice. If you have any questions about this form, please visit: NPEI Customer Choice or contact us at billing@npei.ca or phone us at 1-877-270-3938 to speak to a Billing Representative. You will need your electricity bill on hand to enter the following information. Enter it exactly as it appears on your electricity bill. If your information is not entered as it appears on your electricity bill, we may not be able to process your form. Name on the Account Account Number Address Street Address Unit City/Town Province Postal Code Select Desired Price Structure I AM CURRENTLY BILLED ON TIME-OF-USE AND I WOULD LIKE TO BE SWITCHED TO TIERED I AM CURRENTLY BILLED ON TIERED AND I WOULD LIKE TO BE SWITCHED TO TIME-OF-USE* * If you were paying Tiered prices prior to November 1, 2020, it means that your meter can't be used to bill TOU prices and you can't switch to TOU prices at this time. Please contact us with any questions. How Would You Like to be Contacted About This Form? Email Mail Telephone Email (Registered Within My Account) Email Mailing Address Street Address Unit City/Town Province Postal Code Telephone Name of Account-Holder(Or an individual authorized by the Account-Holder to give this form on the Account-Holder's behalf) Date
