Energy Gift Opportunity

A practical and convenient gift for any occasion

An Energy Gift is a great way to show someone you care. To present an Aquila customer with an Energy Gift toward an energy bill payment, complete and submit the form below.

We will verify the customer's account information and send you an Energy Gift form and an Energy Gift announcement card for you to send to the recipient if you wish. Or, you may give your gift anonymously.

Please do NOT include an Energy Gift payment with your own bill payment. Any gifts received that way will be credited to your account, not the account of the person or family you wish to receive the energy gift.

Questions regarding Energy Gift? Send an email with your question or call us at 1-800-303-0752.

How to provide an Energy Gift to an Aquila customer you know

• Complete the Giver and Recipient fields below.
• Select a method to receive the Energy Gift form and announcement card.
• Choose if you plan to present your gift anonymously.
• Click "Submit."
• When you receive the Energy Gift form, complete it and mail it with your check or money order to the Aquila address on the form. We will apply your Energy Gift to the recipient's account.

Person Giving Energy Gift
Giver/Purchaser Name:
Giver/Purchaser Street Address:
Giver/Purchaser City:
Giver/Purchaser State:
Giver/Purchaser ZIP Code:
Giver/Purchaser Phone Number:
Giver/Purchaser E-mail Address:

Aquila Customer To Receive Energy Gift
Recipient Name:
Recipient Street Address:
Recipient City:
Recipient State:
Recipient ZIP Code:
Recipient Phone Number:

How would you like to receive your Energy Gift form to complete and return with your payment? (please choose one)

By e-mail.

Receive Energy Gift form and gift announcement card in PDF format by e-mail, by the end of the next business day.
Verify the Giver/Purchaser E-Mail address entered above:

By fax.

Receive Energy Gift form and gift announcement card by fax, by the end of the next business day.
Provide the Giver's Fax Number with Area Code:

By conventional mail.

Receive Energy Gift form, return envelope and announcement card by mail within 10 business days.

Would you like your gift to be made anonymously?

Anonymously.

I plan that my gift will be given anonymously. Please do not provide the giver's name to the recipient if they inquire of Aquila Customer Service.

NOT Anonymously.

You may provide my name to the recipient if they ask who sent them an Energy Gift.

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