Welcome to City of High Point Form Center

2. First Name*
3. Last Name*
5. Email
7. Daytime Phone
9. Account #
   Top left corner of Electric Bill
11. Please indicate how many blocks of NC Green Power you would like to purchase (1 block equals 100 kwh).

    1. $4

    1. $8

    1. $12

    1. $20
13. Blocks at $4 per block per month for renewable energy.
15. I understand that my participation in the North Carolina Green Power Program is completely voluntary and billing will begin on my next electric bill.
    (Note: Non-payment of contributions will result in removal from the program.)
17. I have read and understand the above, and authorize the billing of NC Green Power charges on my City of High Point electric account.

    1. Yes
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19. 1. Receive an email copy of this form.
20. Email address

    This field is not part of the form submission.

21. Submit

* indicates a required field