Green Power Choice Application

Green Power Choice gives our members 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 answer each question.
*Name:	*Account or Meter number:
*Street Address at Location:	*Phone Number (at location):
*City at Location:	*Email:
*State at Location:	*Contact Phone Number:
*Zipcode at Location:	Directions to Property/Message/Notes:
By submitting this form you are requesting that Coosa Valley Electric begins the process to include Green Power Choice for your account.