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Thank you for your interest in Integrys Energy Services of New York. Please complete the form below to authorize Integrys to
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By clicking "Submit", I consent and authorize Integrys Energy Services of New York, Inc., its affiliates and agents (“Integrys NY”) to
request and receive information from the applicable utility regarding the past 24 months of billing information, usage data and payment history
on the account numbers/POD IDs listed. I hereby affirm that (1) I am authorized to sign this Authorization on behalf of (a) the entity for which
I am signing and (b) the account numbers/POD IDs listed, and (2) the account numbers/POD IDs provided are a true and current listing of the
account numbers/POD IDs assigned by the applicable utility. I understand that if I wish to rescind this authorization, I should contact Integrys
NY at 1-888-649-4464. I understand this is not a contract for service or a request for Integrys NY to enroll my accounts.
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