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Please enroll me in NorthWestern Energy's E+ Green Program.  I understand that in addition to my regular charges, I will be billed $2 per month for each 100 kWh E+ Green block that I request.  
name as it appears on your statement
name as it appears on your statement
#######-#
Number of 100 kWh E+ Green blocks of environment benefits I commit to buying:
  X  $2.00
My monthly E+ Green charge will be:
Number of green blocks, times $2
Example: If you want to purchase 4-100kWh blocks of environmental benefits, your E+ Green monthly charge would be $8.00.
I authorize Northwestern Energy to ADD the E+ Green charges listed above to my NorthWestern Energy monthly Billing Statement.
 

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