Ameren Illinois
Gas Transportation Nomination Form

* Required Information
*Date:
*Nomination Effective Date:
*New/Revision: New Revision
*Repeat Nomination to End of Month: Yes No
*Delivery Point: *Supplier DUNS Number:
*Supplier Name: *Contact Person:
*Phone Number: *Email Address:

Please check nomination schedule for nomination deadlines:

Use additional forms for more customers, different dates, and different nominations.

*Customer Name *Account Number *Current Volume/MMBtu *New Volume/MMBtu
  Total Nomination (MMBtu)
Please press submit to have your completed form emailed, or if necessary you can print out your completed form and fax it to 217.535.5006.