*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 customers. 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.
1216 Blowing Rock Blvd., NE P. O. Box 112 Lenoir, NC 28645-0112
NC Green Power and Blue Ridge Electric
www.NCGreenPower.org