Request for Deferred Payment Plan

Please complete the information below to notify Energy To Go that you are interested in setting up a payment plan. Please note, by completing this form, you are requesting to set up a payment plan; you have not enrolled in a payment plan. A member of our customer care team will contact you within 2 business days to complete the process.

Customer Name:

Account Number:

Service Address

City:

State:

Zip Code:

Email:

Phone Number:

Enter the number of payment installments you wish to defer your current balance for:

5 installments

4 installments

3 installments

2 installments

Please check both boxes below:

I understand that I have requested a deferred payment plan for my current past due balance. Under this plan, I will be responsible for an initial payment, which represents 50 percentage of this past due balance.

I understand by entering into a Deferred Payment Plan, Energy To Go will put a switch-hold on my account. A switch-hold means that you will not be able to buy electricity from other companies until you pay the total deferred balance. If there is a switch-hold on your account, it will be removed after your deferred balance is paid in full and processed. While a switch-hold applies, if you fail to make payments on your account, you will be in default under the terms of your deferred payment plan agreement and you are eligible for disconnection. If you are disconnected for not paying, you will need to make a full payment to get your electricity turned back on.

I understand that until I confirm with a team member from customer care, I am not on a payment plan.