Community Choice Power Supply Program OPT-OUT or OPT-IN FORM (Inspire)

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

Community Name(required)

Marlborough

OPT-OUT or OPT-IN(required)

OPT-IN

OPT-OUT

Account Number(required)

Service Reference #

Meter #

Account Type(required)

Residential

Commercial

Industrial

Streetlight

Name on Account(required)

Service Address(required)

Address Line 2

City/Town(required)

State

ZIp Code(required)

Email Address(required)

Phone(required)

Type the characters(required)

This field should be left blank

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