Cuivre River Electric | Green Power Enrollment

Green Power Enrollment Form

Yes, I'd like to enroll in Cuivre River Electric Cooperative's Green Power program. I agree to pay up to $2.50/month in addition to my normal cost of energy for each 100 kwh block. I understand that the commitment period is 12 months. Please include me in the next enrollment.

I wish to purchase one 100 kwh block each month for 12 months:

I wish to purchase multiple blocks each month for 12 months:

Multiple block selection ($2.50/month):

2 blocks ($5/month)3 blocks ($7.50/month)

Other blocks:

Name:

Member Number:

Address:

Telephone:

E-mail:

Cuivre River Electric Cooperative does not reveal any personal information our members may input on this website. Information provided by our members on this electronic form is strictly confidential and the property of Cuivre River Electric Cooperative. This personal information is designed to provide us with detailed account information to enroll our members into the Green Power program.