Welcome to City of High Point Form Center

2. First Name*
3. Last Name*
5. Email
6. Daytime Phone
7. Account Number*
9. Please indicate how much you would like to donate monthly to NC GreenPower:

   1. $4

   1. $8

   1. $12

   1. $20

   1 Block = 125 kwh
11. Your donation will support local renewable energy projects while also enhancing our students’ education through their Solar+ Schools grant program.
13. 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. NC GreenPower is a 501(c)3 tax-exempt organization and your donation is tax-deductible within the guidelines of U.S. law.
15. 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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17. 1. Receive an email copy of this form.
18. Email address

    This field is not part of the form submission.

19. Submit

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