GreenPower Application

Account Information as Shown on Your Electric Bill:
*Indicates a required field.

*First Name:

*Middle Initial:

*Last Name:

*E-mail Address:

*Daytime Phone: () -

Cell Phone: () -

*Blue Ridge Electric Account #

Please indicate how many blocks of NC Green Power you would like to purchase:
Blocks @ $4.00 per block per month for renewable energy. One block equals 100 kWh.
Blocks @ $2.50 per block per month for large volume members. This option is designed for member-owners who purchase a minimum of 100 blocks. One block equals 100 kWh.

I understand that my participation in the North Carolina Green Power Program is completely voluntary and billing will begin on my next electric bill. (Note: Nonpayment of contributions will result in removal from the program.)

I have read and understand the above, and authorize the billing of NC Green Power charges on my electric account.