NC Green Power and Blue Ridge Electric
www.NCGreenPower.org
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.
