WE HELP COMMUNITIES: We Know Electricity & Gas is a large expense for many consumers. Therefore Commercial & Residential Energy consumers can receive Electric or Gas rate reductions. In the Winter Months from November to February, you can receive a 50% rate reduction as well as Free Energy Monthly By Referring 15 Electricity or Gas consumers in the Deregulated Energy States we serve. COMMUNITY SOLAR is "Solar That Doesn't Require A Roof!" There's no need to install panels- subscribers are digitally connected to a local solar farm. The Utility stays the same, but subscribers get a 5% Monthly Clean Energy Discount. Low to Moderate Income subscribers get a 25% Monthly Clean Energy Discount. New Subscribers receive an immediate 1 time $25 - $100 Electric Bill Credit. To show our Appreciation, all new customers receive a $500 Gift Certificate!

Zip Code / Promo Code or Reference # *

Phone number *

Email address *

First Name *

Middle

Last Name *

Last 4 of SSN

D.O.B

Address (Must be the Same as on your State Issued ID!) *

City *

State *

CHECK ALL THAT APPLY: Which services are you requesting? Which Benefits do you receive? If you run a Business, rent Or live in an apartment or own a home you can Go Green with Community Solar & receive A $25 - $100 Utility Bill Credit Now! A 5% Monthly Clean Energy Discount. Low and Moderate Income (LMI) subscribers receive a 25% Monthly Clean Energy Discount. If you receive any of the listed benefits you qualify for the 25% monthly LMI Clean Energy Discount. Residents can receive Free Energy by Referring 15 customers & Businesses can request a Electricity Rate Reduction. ITS FREE TO SIGN UP!. *

Attach the most recent Utitlity Bill to
receive a Bill Credit or Rate Reduction

Attach any additional supporting documents
(Utility Bill, State ID, Proof Of Benefit)

$25 - $100 Utility Bill Credit	Commercial Energy Rate Reduction
Refer 15 Customers and receive Free Energy	Residential Energy Rate Reduction
Community Solar	Roof Top Solar
Free Prescription Medications	Free Gov Phone
SNAP	Medicaid
SSI	Veterans Pension
Public Housing / Section 8	WIC
W2 Income (self-attestation	Pell Grant
Free/Reduced School Lunch	Tribal Lands
Fuel Fund Of MD	LIHEAP
MD Energy Assistance Program	emPOWER
Residential / Commercial Construction	None Of These Apply To Me