First Name:

Last Name:

Last 4 of SSN:

Street Address:

City:

Zip Code:

Home Phone:
(i.e. 555-555-5555)

Email Address:

Account Information:

Yes, I would like to participate in Green Power: (each block will add an extra three dollars to your monthly bill)
One Block: (100 Kwh) for $3 per month
Two Blocks: (200 Kwh) for $6 per month
Three Blocks: (300 Kwh) for $9 per month
Other Amount: blocks

Please Note. Participation in Green Power is voluntary by Pee Dee Electric and its member-owners. A member-owner may discontinue participation in Green Power at any time. Pee Dee Electric may alter, amend or end Green Power at any time.