Internal Enrollment Form - The Energy Coop

Selected Product*

Verify the information you have entered with the enrollee to ensure that you captured their enrollment details correctly.

Utility

Renewable Electricity Rates - Residential:*

Learn more about our terms and conditions

EcoChoice100 National – Fixed (12 months) | $0.0999 / kWh
EcoChoice100 National provides clean electricity from wind and solar projects nationwide.
EcoChoice100 Pennsylvania - Fixed (12 months) | $0.1099 / kWh
EcoChoice100 Pennsylvania provides locally generated clean electricity from wind and solar projects solely within the Commonwealth.
EcoChoice100 National – Variable (monthly) | $0.1149 / kWh
EcoChoice100 National provides clean electricity from wind and solar projects nationwide.
EcoChoice100 Pennsylvania - Variable (monthly) | $0.1249 / kWh
EcoChoice100 Pennsylvania provides locally generated clean electricity from wind and solar projects solely within the Commonwealth.

Renewable Electricity Rates - Residential:*

Learn more about our terms and conditions

EcoChoice100 National – Fixed (12 months) | $0.1179 / kWh
EcoChoice100 National provides clean electricity from wind and solar projects nationwide.
EcoChoice100 Pennsylvania - Fixed (12 months) | $0.1279 / kWh
EcoChoice100 Pennsylvania provides locally generated clean electricity from wind and solar projects solely within the Commonwealth.

Utility

Renewable Natural Gas Rates - Residential:*

Learn more about our terms and conditions

RNG – Variable (monthly) | $0.6950 / Ccf
RNG provides 100% renewable natural gas from organic waste facilities. No drilling, no fracking.

Renewable Natural Gas Rates - Residential:*

Learn more about our terms and conditions

RNG – Variable (monthly) | $0.6950 / Ccf
RNG provides 100% renewable natural gas from organic waste facilities. No drilling, no fracking.

Name*

First Last

Service Address*

Street Address City State ZIP Code

Billing Address

Same as service address

Billing Address*

Street Address City State ZIP Code

Email*

Phone*

PECO Account Number*

PPL Account Number*

PECO Account Number*

PGW Account Number*

PGW Service Point ID*

PGW Rate Schedule

Electricity Promo Code

Renewable Natural Gas Promo Code

Acknowledgment*

Read to Enrollee:
Your information is verified, and we are ready to submit your enrollment. The Energy Co-op's Renewable Electricity terms and conditions are available on our website for review. You will receive a link to those terms and conditions in the enrollment receipt email which you should receive within one (1) business day of the enrollment being submitted. Note that The Energy Co-op does NOT have any membership or cancellation fees. If you have any questions or concerns after reviewing the terms and conditions, you can contact us anytime to discuss. Do you agree to submitting your enrollment for Renewable Electricity service with The Energy Co-op?

Yes, enrollee agrees to submitting their enrollment for Renewable Electricity service.

Acknowledgment*

Read to Enrollee:
Your information is verified, and we are ready to submit your enrollment. The Energy Co-op's Renewable Natural Gas terms and conditions are available on our website for review. You will receive a link to those terms and conditions in the enrollment receipt email which you should receive within one (1) business day of the enrollment being submitted. Note that The Energy Co-op does NOT have any membership or cancellation fees. If you have any questions or concerns after reviewing the terms and conditions, you can contact us anytime to discuss. Do you agree to submitting your enrollment for Renewable Natural Gas service with The Energy Co-op?

Yes, enrollee agrees to submitting their enrollment for Renewable Natural Gas service.

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