Green Power Choice Registration Form

Green Power Choice gives our member-owners the option of purchasing clean, green energy in 100-kilowatt-hour blocks, equivalent to about 8 percent of a typical month's electricity use. Each block you purchase will add $2 to your monthly power bill, and you can buy as many as you like. The minimum participation period is one year.

Please complete application below:
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Kilowatt-Hour Blocks

Purchasing Options* 100 kilowatt-hours ($2/month) 200 kilowatt-hours ($4/month) 300 kilowatt-hours ($6/month) 400 kilowatt-hours ($8/month) 500 kilowatt-hours ($10/month) 600 kilowatt-hours ($12/month) Other

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Personal Information

Name*

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Account Number*

Address*

City*

State*

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Date* Open the calendar popup. << < May 2012 > >> S M T W T F S 29 30 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 1 2 3 4 5 6 7 8 9 Time Picker 12:00 AM 1:00 AM 2:00 AM 3:00 AM 4:00 AM 5:00 AM 6:00 AM 7:00 AM 8:00 AM 9:00 AM 10:00 AM 11:00 AM 12:00 PM 1:00 PM 2:00 PM 3:00 PM 4:00 PM 5:00 PM 6:00 PM 7:00 PM 8:00 PM 9:00 PM 10:00 PM 11:00 PM

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