Name

First Name

Last Name

Email Address

Phone

(###)

###

####

Your Electric Company

If you are served by another Electric Company, let us know here. (We don't have a solar net metering credit program for you yet, but we'll let you know when we do.)

Name on your Electric Bill (if different)

First Name

Last Name

Address on your Electric Bill

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Your Electric Account Number

Are you a Member of Co-op Power?

Your average monthly electric bill:

Your payment for this program will be processed by CommonGood.earth. Do do you have a Common Good account?

Co-op Power
1 Ashfield Street, Floor 3, Office #4
Shelburne Falls MA 01370
(877) 266-7543
officemanager@cooppower.coop

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