Mountain Parks Electric, Inc.
Print out the form below, fill it out, sign, date and mail to:
Mountain Parks Electric, Inc.
FAX: 970-887-3996
Green Power Commitment
Please Print
Name_______________________________________________________
Address________________________________________________________________
City______________________________State_________________Zip______________
Telephone number________________________________________________________
Please charge my account #____________________________________, accordingly:
$0.50 more per month for 100 kilowatt hours of Green Power or
200kwh/$1.00 - 300kwh/$1.50 - 400kwh/$2.00 - 500/$2.50
More than 500, indicate the number of 100 kWh blocks __________@ $0.50 each
Signature__________________________________________________________
Date ________________________________________