EnergyCard™ Online Application

All entry fields labeled with an asterisk * are required in order to submit your EnergyCard™ application.
Please include as much detail as possible to ensure prompt processing of your application.

All information supplied by the applicant will be securely transmitted.

Number of Additional Cards Required *
For quantities of cards with different names greater than 10, please enter the first 10 names and our Credit department will contact you for further information.

Would you like more information regarding a Pre-authorized Payment Plan? *

Note: For business applicants only

After submitting your online application, please print and fill out the Bank Information Release Form. You may mail, fax, or email it to us at:

UPI Energy FS
105 Silvercreek Parkway North, Suite 200
Guelph, ON N1H 8M1
Fax: 519-821-2618