Energy Efficiency Mail

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The following information about your renewable energy usage helps us produce a magazine to better serve your interests. This information will be held confidential. We do not sell our mailing list. Completion of the rest of this form is not necessary to receive a subscription, but we would greatly appreciate your input.

NOW: I use renewable energy for (check ones that best describe your situation)

□ All electricity

□ Most electricity

□ Some electricity

□ Backup electricity

□ Recreational electricity (RVs, boats, camping)

□ Vacation or second home electricity

□ Transportation power (electric vehicles)

□ Water heating

□ Space heating

□ Business electricity

In The FUTURE: I plan to use renewable energy for (check ones that best describe your situation)

□ All electricity

□ Most electricity

□ Some electricity

□ Backup electricity

□ Recreational electricity (RVs, boats, camping)

□ Vacation or second home electricity

□ Transportation power (electric vehicles)

□ Water heating

□ Space heating

□ Business electricity

RESOURCES: My site(s) have the following renewable energy resources

(check all that apply)

□ Geothermal power

□ Other renewable energy resource (explain)

The GRID: (check all that apply)

□ I have the utility grid at my location.

I pay_0 for grid electricity (cents per kilowatt-hour). _% of my total electricity is purchased from the grid.

□ I sell my excess electricity to the grid.

The grid pays me_0

for electricity (cents per kilowatt-hour).

(continued on reverse)

I now use, or plan to use in the future, the following renewable energy equipment (check all that apply):

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