Community Choice Power Supply Program Constellation OPT-OUT or OPT-IN FORM

PLEASE CHOOSE THE AGGREGATING TOWN OR CITY'S NAME.

PLEASE ENTER FULL UTILITY (NOT SUPPLIER) ACCOUNT NUMBER: NGRID = 10 DIGITS, EVERSOURCE = 11 DIGITS, UNITIL = 11 DIGITS.

9 DIGITS, FOUND ON THE LEFT SIDE OF THE SECOND PAGE IN THE BLUE BOX.

FOUND ON THE LEFT SIDE OF THE SECOND PAGE IN THE PALE GREEN STRIP.

PLEASE ENTER SERVICE NAME EXACTLY AS IT APPEARS AT THE TOP OF THE BILL.

PLEASE ENTER SERVICE ADDRESS (NOT NECESSARILY THE BILLING ADDRESS).

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