Green Generationsm Enrollment Form

Thank you for choosing to make a positive difference for Michigan families and communities, the environment and future generations by enrolling in green generationsm!

Submit this form to enroll in the Consumers Energy green generationsm program. The green generationsm charge will be added to your monthly energy bill for your convenience.

Please complete a separate form for each account you wish to enroll in green generationsm.

 
 *  Indicates a required field    
     

Note: Initial 12-month term is required. Your participation costs are in addition to your normal monthly electric charges.

   

   
* Participation Level: (Choose one) - Need Help?  
  GreenTeam: 100% ($0.01 per kWh)
Your monthly participation costs will fluctuate as your electricity use changes.
 
  GreenBlocks: x $1.50 each =  
Enter your desired # of blocks per month to calculate your monthly participation costs.
 
  GreenBusiness: x $1.275 each =  
Enter your desired # of blocks per month to calculate your monthly participation costs.
You qualify for the discounted price shown above if you purchase 100 blocks or more.
 

   
  Account Number:
  Your account number is shown on the front of your monthly energy bill (no spaces).  
  Promotion Code:
* Authorized By:
  Your first and last name as shown on your energy bill.  
* Service Address 1:  
  Service Address 2:
* City:    
* State:
* Zip Code:
* Daytime Phone:
  Email Address:

   
* How did you hear about green generationsm?  
   
  If an organization influenced your decision to enroll in green generationsm, please list that organization here:  
   
  Comments:  
   

   
  Please take time now to review the green generationsm program Content Label.  
     
  Please take time now to review the green generationsm program Terms and Conditions.  

   
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  Please refer to the Terms and Conditions for eligibility requirements. Customers can only enroll in one option at a time. If you have questions or would like more information, please contact us at (800) 241-3368, Monday through Friday, 8 a.m. to 6 p.m. EST.  
     
Form 742 8-2011
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