Consultant Enrollment

Your enrollment is nearly finished! Please review and confirm your information below. If everything is correct, then complete the final step by entering your credit card information.

Your card will be charged the following:

Credit Card Address

Please enter your First Name.

First Name*

Please enter your Last Name.

Last Name*

Same Address? My credit card address is the same as my personal address

Please enter your Credit Card Address (Line 1).

Address 1*

Address 2

Please enter your Credit Card City.

City*

State* Select a State... Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Armed Forces (the) Americas Armed Forces Europe Armed Forces Pacific

Please enter your Credit Card Zip.

Please enter 5 digits.

Zip*

Credit Card Number

Card Type* American Express Discover MasterCard Visa

Please enter your Credit Card Number.

Please enter only digits (0-9).

Number*

Expiration* January February March April May June July August September October November December / 2019202020212022202320242025202620272028

Please enter your Security Code (CVV).

Please enter 3-4 digits.

Security Code*

Submitting your enrollment...

Click on each document below and carefully read and review the information contained. Please save these documents for future reference.

Typing your name below confirms that you have read and agree to the text and documents listed above.

Please type your name as you did in Step 1.

Type Your Name*
Type your name as you did in Step 1, {{Consultant.Information.FirstName}} {{Consultant.Information.LastName}}

    You’re almost there!

PowerZone Access

PowerZone is available to all Ambit Independent Consultants and is your one-stop shop for all the Consultant tools you need to help build your business. Set up your password below for access to your own personalized PowerZone Account.

Please enter a PowerZone Password.

Sorry, your password does not meet the requirements.

PowerZone Password*
Passwords must be at least 8 characters long with at least 1 uppercase letter, 1 lowercase letter and 1 number.

Sorry, but your passwords need to match.

Confirm PowerZone Password*

By selecting "Next", I agree to Ambit's Website Billing Policies.

    Just a few steps left!

Would you like to add a Secondary Account holder?

Yes     No

Secondary Account holders have complete access to your primary account.

    You’re halfway there!

How would you like to receive your earned residual income and commissions? Please enter your tax information, and choose direct deposit or a paper check.

Make My Checks To* {{Consultant.Information.FirstName}} {{Consultant.Information.LastName}} {{Consultant.Information.BusinessName}}

Tax ID Type* Social Security Number (SSN)
Individual Taxpayer Identification Number (ITIN)
Employer Identification Number (EIN)

Please enter your {{Consultant.CommissionPayment.TaxIDType ? Consultant.convertTaxIdType(Consultant.CommissionPayment.TaxIDType) : 'Tax ID Number'}}.

Please only enter numbers, 0-9.

{{Consultant.CommissionPayment.TaxIDType ? Consultant.convertTaxIdType(Consultant.CommissionPayment.TaxIDType) : 'Tax ID Number'}}*

Payment Method* Direct Deposit, Free
Printed Check, Fee may apply

By selecting "Printed Check," I understand Ambit Energy reserves the right to charge a service fee for each paper commission check issued to me. To avoid fees, I may enroll in Direct Deposit at any time.

Clicking “Next” confirms that you have read and agree to the Direct Deposit Terms of Use.

Thank you for your interest in becoming an Ambit Energy Independent Consultant. Getting started on the road to Financial Freedom is quick and easy. Just follow a few simple steps and you’ll soon have your own Ambit business!

Please enter your First Name.

First Name*

Please enter your Last Name.

Last Name*

Business Name

Please enter your Address (Line 1).

Address 1*

Address 2

Please enter your City.

City*

State* Select a State... Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Armed Forces (the) Americas Armed Forces Europe Armed Forces Pacific

Please enter your Zip.

Please enter 5 digits.

Zip*

Please enter a valid Email Address.

Please enter your primary Email Address.

Email Address*

Please enter 10 digits. No special characters please.

Please enter 10 digits. No special characters please.

Phone Number*

Phone Type* Cell Home Work

+ Add Secondary Phone

Date of Birth* January February March April May June July August September October November December / 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 / 2001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920191919181917191619151914191319121911191019091908190719061905190419031902

Language Preference* English Español