Cooperative Solar Application Cooperative Solar Application If you are a residential member of Carroll EMC and are interested in participating in Cooperative Solar, please complete the form below to sign up. Please Note: Completing this form automatically enrolls you in the Cooperative Solar program unless you are interested in purchasing more than 3 blocks. Member First Name * Member Last Name * Account Number * Phone Number * Email Address * Service Address * Service Address Service Address Service Address City City State/Province AlabamaAlaskaArkansasArizonaCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming State/Province Zip/Postal Zip/Postal Solar Energy Purchase Options I would like to purchase one block of cooperative solar energy for $20 per month. I would like to purchase two blocks of cooperative solar energy for $20 per month, for a total of $40 per month. I would like to purchase three blocks of cooperative solar energy for $20 per month, for a total of $60 per month. I am interested in purchasing more than three blocks of cooperative solar and would like Carroll EMC to reach out to me. By selecting the box below, you agree to the following: * I authorize Carroll EMC to bill my account for the solar energy option I have selected above. I have reviewed and agreed to the Terms of Service, linked below, for participating in the Cooperative Solar program. I understand that I can elect to withdraw from the Cooperative Solar program at any time by notifying Carroll EMC of my intent to withdraw from the program. Terms of Service Please provide any questions you have below. Member Signature * signature keyboard Clear Date * Submit If you are human, leave this field blank.
