Request Information

At Liberty Power, our goal is to help our customers to save on electricity while delivering excellent customer service. The first step toward becoming a Liberty Power customer is to fill out the form below. A customer service representative will contact you within one business day to provide you with a quote. If you decide to become a Liberty Power customer, the information gathered below will make switching simple and easy to do.

Customer Information
First Name*:
Last Name*:
Title:
Company:
Industry:
Service Address
Address*:
Address 2:
City*:
State*:
Zip*:
Phone:
Fax:
Email*:
Billing Address
Same as Service Address
Address*:
Address 2:
City*:
State*:
Zip*:
Phone:
Fax:
Email*:
Terms & Conditions
Would you like a copy of Liberty Power's Terms and Conditions? Yes No
Additional Information
Who is your current electricty provider?
Average monthly electricity bill:
Would you like to be contacted by a customer care representative?
Your questions/comments: