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This field is for validation purposes and should be left unchanged.

Are you a current Solar Share subscriber?(Required)

Yes

Account Holder Name(Required)

(from electric bill)

First Last

Please Note: If you have multiple accounts and would like to add Solar Subscriptions, please fill this survey out for each account you would like to add Solar Shares to.

Full Account Number

(Example: 12345001 Note: This must be a Residential account. Net Metering rate members are not eligible. Business/commercial accounts are not eligible.)

Service Address(Required)

Street Address City State ZIP Code

Contact Phone Number(Required)

Email Address(Required)

Solar Rates below are based on the Cooperative's tariff

Blocks	kWh	Monthly Rate
1 Block	50kWh	$4.50 per month (in lieu of $3.92 for Energy + PCA at 2026 rates)
2 Blocks	100kWh	$9 per month (in lieu of $7.85 for Energy + PCA at 2026 rates)
3 Blocks	150kWh	$13.50 per month (in lieu of $11.77 for Energy + PCA at 2026 rates)
4 Blocks	200kWh	$18 per month (in lieu of $15.70 for Energy + PCA at 2026 rates)
5 Blocks	250kWh	$22.50 per month (in lieu of $19.62 for Energy + PCA at 2026 rates)
10 Blocks	500kWh	$45 per month (in lieu of $39.25 for Energy + PCA at 2026 rates)
15 Blocks	750kWh	$67.50 per month (in lieu of $58.87 for Energy + PCA at 2026 rates)
20 Blocks	1,000kWh	$90 per month (in lieu of $78.49 for Energy + PCA at 2026 rates)

* Subscribers are billed a flat fee of $4.50/50 kWh block whether or not the energy is consumed. The cost is not pro-rated.

Based on the rates indicated in the chart above, I wish to subscribe to a total of:(Required)

1 Solar Block

2 Solar Blocks

3 Solar Blocks

4 Solar Blocks

5 Solar Blocks

10 Solar Blocks

15 Solar Blocks

20 Solar Blocks

Member Signature (Full Name)