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Form Agreement Email Addresses

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					                                                                                                                                                  Application Form
                                                                                                                                                       Customer Information




Submit Application Form to: mburdge@aep.com
Submittal Date/Time:

Submittal of the Application Form does not guarantee acceptance into the program or the payment of incentives,
but rather identifies to PSO your position in the Application Process.



Customer Mailing Address:




      Primary Contact Name

                     Company                                                                                                             Customer Business Description

                      Address

                           City

                          State

                     Zip Code

  Tax Identification Number




                        Phone

                            Fax

                         Email

Management Plan                    This information includes the design, implementation, operation, and management of the project.




       Notification of a curtail event will be done by a text message to Corporate, Blackberry, and Cell Phone email addresses. Please complete this information on each applicable "Site" tab.




                                                           Fill out each Site Profile necessary on the following tabs.




You may call 918-599-2588 for more information.

To submit the signed copy of the Application Agreement, mail to:

                           Attn:   Micah Burdge
                     Company:      PSO                                                                                                             Program Manager:      Kathy Champion
                      Address:     212 E. 6th St.                                                                                                            Office:     918-599-2206
         City, State & Zipcode:    Tulsa, OK 74102                                                                                                          Mobile:      918-230-6643
                                                                                                                                                               Fax:      918-599-3388
                                                                                                      Application Form
                                                                                                                Site Profile 1




Notification of a curtail event will be done by a text message to Corporate, Blackberry, and Cell Phone email
addresses. At least one email address must be entered below.


               Primary Contact Name                                                              Account No.
            Secondary Contact Name                                                 Site Description

                               Email 1

                               Email 2

                               Email 3

                               Email 4

                               Email 5

                               Email 6

                               Email 7

                               Email 8

                               Email 9

                                                                                   Estimated kW for curtailment at this location
       If a cell phone email address is
        given, please provide name of
                               Provider
                          (ie. Verizon)




       You may call 1-918-599-2588 for more information.

       To submit the signed copy of the Application Agreement, mail to:

                                Attn:     Micah Burdge
                          Company:        PSO                                               Program Manager:    Kathy Champion
                            Address:      P.O. Box 201                                                Office:   918-599-2206
              City, State & Zipcode:      Tulsa, OK 74102                                            Mobile:    918-230-6643
                                                                                                        Fax:    918-599-3388
                                                                                                      Application Form
                                                                                                                Site Profile 2




Notification of a curtail event will be done by a text message to Corporate, Blackberry, and Cell Phone email
addresses. At least one email address must be entered below.


               Primary Contact Name                                                              Account No.
            Secondary Contact Name                                                 Site Description

                               Email 1

                               Email 2

                               Email 3

                               Email 4

                               Email 5

                               Email 6

                               Email 7

                               Email 8

                               Email 9

                                                                                   Estimated kW for curtailment at this location
       If a cell phone email address is
        given, please provide name of
                               Provider
                          (ie. Verizon)




       You may call 1-918-599-2588 for more information.

       To submit the signed copy of the Application Agreement, mail to:

                                Attn:     Micah Burdge
                          Company:        PSO                                               Program Manager:    Kathy Champion
                            Address:      P.O. Box 201                                                Office:   918-599-2206
              City, State & Zipcode:      Tulsa, OK 74102                                            Mobile:    918-230-6643
                                                                                                        Fax:    918-599-3388
                                                                                                      Application Form
                                                                                                                             2
                                                                                                                Site Profile 3




Notification of a curtail event will be done by a text message to Corporate, Blackberry, and Cell Phone email
addresses. At least one email address must be entered below.


               Primary Contact Name                                                              Account No.
            Secondary Contact Name                                                 Site Description

                               Email 1

                               Email 2

                               Email 3

                               Email 4

                               Email 5

                               Email 6

                               Email 7

                               Email 8

                               Email 9

                                                                                   Estimated kW for curtailment at this location
       If a cell phone email address is
        given, please provide name of
                               Provider
                          (ie. Verizon)




       You may call 1-918-599-2588 for more information.

       To submit the signed copy of the Application Agreement, mail to:

                                Attn:     Micah Burdge
                          Company:        PSO                                               Program Manager:    Kathy Champion
                            Address:      P.O. Box 201                                                Office:   918-599-2206
              City, State & Zipcode:      Tulsa, OK 74102                                            Mobile:    918-230-6643
                                                                                                        Fax:    918-599-3388
                                                                                                      Application Form
                                                                                                                             3
                                                                                                                             2
                                                                                                                Site Profile 4




Notification of a curtail event will be done by a text message to Corporate, Blackberry, and Cell Phone email
addresses. At least one email address must be entered below.


               Primary Contact Name                                                              Account No.
            Secondary Contact Name                                                 Site Description

                               Email 1

                               Email 2

                               Email 3

                               Email 4

                               Email 5

                               Email 6

                               Email 7

                               Email 8

                               Email 9

                                                                                   Estimated kW for curtailment at this location
       If a cell phone email address is
        given, please provide name of
                               Provider
                          (ie. Verizon)




       You may call 1-918-599-2588 for more information.

       To submit the signed copy of the Application Agreement, mail to:

                                Attn:     Micah Burdge
                          Company:        PSO                                               Program Manager:    Kathy Champion
                            Address:      P.O. Box 201                                                Office:   918-599-2206
              City, State & Zipcode:      Tulsa, OK 74102                                            Mobile:    918-230-6643
                                                                                                        Fax:    918-599-3388
                                                                                                      Application Form
                                                                                                                             3
                                                                                                                             4
                                                                                                                             2
                                                                                                                Site Profile 5




Notification of a curtail event will be done by a text message to Corporate, Blackberry, and Cell Phone email
addresses. At least one email address must be entered below.


               Primary Contact Name                                                              Account No.
            Secondary Contact Name                                                 Site Description

                               Email 1

                               Email 2

                               Email 3

                               Email 4

                               Email 5

                               Email 6

                               Email 7

                               Email 8

                               Email 9

                                                                                   Estimated kW for curtailment at this location
       If a cell phone email address is
        given, please provide name of
                               Provider
                          (ie. Verizon)




       You may call 1-918-599-2588 for more information.

       To submit the signed copy of the Application Agreement, mail to:

                                Attn:     Micah Burdge
                          Company:        PSO                                               Program Manager:    Kathy Champion
                            Address:      P.O. Box 201                                                Office:   918-599-2206
              City, State & Zipcode:      Tulsa, OK 74102                                            Mobile:    918-230-6643
                                                                                                        Fax:    918-599-3388

				
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