Bright Options Solar Enrollment Form

Bright Options Solar Enrollment Form

Account #: *

Last Name: *

First Name: *

Address: *

Address:

Address:

Address:

City

City

State/Province

State/Province

Zip/Postal

Zip/Postal

Phone Number: *

Email Address: *

Your Local Cooperative: *

Average Monthly Electric Usage in kWh: *

Number of 200 kWh Solar Blocks (Not to exceed your average monthly electric use):

1 @ $12/month

2 @ $24/month

3 @ $36/month

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