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Southeastern Indiana REMC |
Enviro-WattsSM Member Registration Agreement |
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Enviro-Watts is our name for green power—energy generated from renewable, environmentally preferred sources like biomas, sun wind, water and geothermal springs. When you participate in this voluntary program, we will buy renewable energy from an environmentallypreferred source.
The supply of renewable energy is limited. It is priced at a premium. Enviro-Watts cost 4 cents per
kilowatt more than kilowatt-hours purchased under our standard general service
rate. If you buy 100-kilowatt hours per
month, you pay an additional $4 per month.
As more electricity is sold through the Enviro-Watts
program, more renewable energy will be purchased.
0 YES! Sign me up for Enviro-Watts
electricity service from Southeastern Indiana REMC.
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Name: ________________________________________ |
Member Acct. #:
___________________ |
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Street Address: |
___________________________________________________________________ |
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City: |
________________________________________ |
State: |
_____ |
ZIP: |
_____________ |
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Email address if approved for the cooperative’s use: |
______________________ |
Phone: (_____)
____________________ |
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Agreement Date ______/______/______ (Agreement Expiration will be
12 mos. from sign-up date--M/D/YR) |
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Monthly green power purchase choice in kWh (See table
below for options): |
______ kWh/mo. |
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The additional kilowatt-hour per month charge is listed below to
assist you
in selecting a monthly green power
participation level.
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100kWh/mo.
@ $.04/kWh = $4 |
200
kWh/mo. @ $.04/kWh = $8 |
300
kWh/mo. @ $.04/kWh = $12 |
400
kWh/mo. @ $.04/kWh = $16 |
500
kWh/mo. @ $.04/kWh = $20 |
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600
kWh/mo. @ $.04/kWh = $24 |
700
kWh/mo. @ $.04/kWh = $28 |
800
kWh/mo. @ $.04 = $32 |
900
kW/mo. @ $.04/kWh = $36 |
1000
kWh/mo. @ $.04/kWh = $40 |
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Member Signature: ___________________________________________ |
Date: _____________ |
0 Your request to
participate in the Enviro-Watts green energy program was received at our office
via telephone or direct mail. Your participation level selection is recorded on
this form. If this registration data is
correct, please keep this sheet for your records.
Return
this form to:
Southeastern Indiana REMC, P.O. Box 196, Osgood, IN, 47037. Or Fax at (812) 689-6987
Questions: Call (800) 737-4111 or 689-4111. Email:
seinremc@seidata.com