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Request Green Power

Please complete the online form to request Green Power from Diverse Power. Request Green Power Form
 *required field
Your Information
*Your Full Name: Date: September 09, 2010
*Home Address:
*City:
*State:
*Zip:
*Home Phone:
*Work Phone:
*E-mail address:
*Blocks of Green Power
1 block = 100 kWh @ $2.50/Month
2 block = 200 kWh @ $5.00/Month
3 block = 300 kWh @ $7.50/Month
4 block = 400 kWh @ $10.00/Month

I have read, understood and agree to abide by the by-laws pertaining to membership of Diverse Power Incorporated.