Renewable Electricity Product Switch

Name
First Last
Utility*
Renewable Electricity Rates - Residential
Renewable Electricity Rates - Residential
Utility Account Number*
Must be 10 digits. If the utility account number is less than 10 digits, add zeros before the number to make it 10 digits.
Date Member Requested Switch*
Date Format: MM slash DD slash YYYY
Switch Activation Date*
Should be the same as the Date Member Requested Switch field, unless member requests otherwise.
Date Format: MM slash DD slash YYYY
Switch Reason
Provide brief explanation why the member is switching to the newly selected product and rate.
Notes
Enter any notes relevant to this product switch submission.
Product Switch Received By*