Signature_______________________________
Green Power Amount:
¨ 100
kilowatt hours (kWh) @ $4.00 per month
¨ 200
kilowatt hours (kWh) @ $8.00 per month
¨ 300
kilowatt hours (kWh) @ $12.00 per month
¨ 400
kilowatt hours (kWh) @ $16.00 per month
¨ 500
kilowatt hours (kWh) @ $20.00 per month
¨ 600
kilowatt hours (kWh) @ $24.00 per month
¨ 700
kilowatt hours (kWh) @ $28.00 per month
¨ 800
kilowatt hours (kWh) @ $32.00 per month
¨ 900
kilowatt hours (kWh) @ $36.00 per month
¨ 1000
kilowatt hours (kWh) @ $40.00 per month
¨ All
Green Option @ 4 cents per (kWh) premium
_______________________________________
Name
_______________________________________
Address
_______________________________________
City
State
Zip
_______________________________________
Phone
Email
OPALCO Green Power Program
183 Mt. Baker Rd.
Eastsound, WA 98245-9413
Tel: (360) 376-3500
Fax: (360) 376-3505