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

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

PLEASE ENTER THE NAME ON THE ACCOUNT EXACTLY AS IT APPEARS ON THE ELECTRICITY BILL.

PLEASE ENTER ADDRESS WHERE THE ELECTRICITY IS BEING USED (NOT NECESSARILY THE BILLING ADDRESS)

PLEASE ENTER THE AGGREGATING TOWN OR CITY'S NAME

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