Energy Savings Kit Program - Registration Form

General Information

What type of home do you live in?

How many people live in your home?

What is your primary method of heating?

What is your water heater energy source?

Contact Information

First Name

Last Name

Email Address

Telephone

Language Preference

English French

Property Information

Please provide the address:

Civic Number

Please ONLY enter your building number here. We will use it to filter your address search.

Unit/Suite/Apartment

NB Street/Postal Code Search

Select a street name and postal code from the list as you type and we'll fill in the rest of the address details below. Use ST, CRT, CRES, AV, AVE, BLVD, BOUL, CH, etc., to narrow your search if necessary.

Can't find the address you're looking for? Tick the 'Enter address manually' box.

Enter address manually

Country Country

Street Name

City/Town

Postal Code

Province Province

State

Province/State & Country

Zip Code

Postal/Zip Code

Electric Utility

Please advise whether we require special delivery instructions

Yes No

Please specify

Authorization

Personal information on this form is collected under Part 3, Division A, section 37(2)(a)(i) and 37(2) of the Right to Information and Protection of Privacy Act of New Brunswick for the purpose of assessing your application and for the purpose of administering, evaluating and developing the Energy Savings Kit program.

NB Power will take all necessary steps to maintain the privacy and confidentiality of all personal information collected.

Any questions regarding the collection and use of personal information on this form can be directed to Melinda Maguire, Chief Access to Information and Privacy Officer, at NB Power Corporation, 515 King Street, PO Box 2000, STN A, Fredericton, N.B., E3B 4X1; (506) 458-4444; righttoInformation@nbpower.com.

By clicking "I Agree", the applicant: acknowledges that all information, including personal information, provided is accurate; authorizes NB Power to obtain and use any information necessary from any source for the assessment of their application, the administration of the Energy Savings Kit program, and for the evaluation and development of the the Energy Savings Kit program; authorizes NB Power to share necessary personal information with shipping provider(s) for the delivery of the kit to the applicant; authorizes NB Power, or agents on its behalf, to contact the applicant regarding the Energy Savings Kit program or other energy savings programs; authorizes NB Power to share necessary personal information with the program evaluator and surveyors who may contact the applicant for program evaluation; authorizes NB Power to collect and use their personal information for the purpose of assessing their application and for the purpose of administering, evaluating and developing the Energy Savings Kit program. Any questions regarding the Energy Savings Kit program can be directed to NB Power at 1 800 663-6272.

Please note that all communications (including customer surveys) related to the Energy Savings Kit program will be sent to the applicant at the email address(es) provided; however, evaluators and surveyors may contact the applicant at the telephone number provided.

I Agree

Would you like to join our emailing list and receive updates on new programs and/or tips and advice on energy efficiency?

Yes No

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