Form Test - Great Lakes Energy

Name on Account: *

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Yes, I agree to join the People Fund or People Fund Plus and give the following on my bill:

Round-up my bill to the nearest dollar each month (average 50 cents/month)

Round-up my bill and add $1/month

Round-up my bill and add $2/month

Round-up my bill and add $3/month

Round-up my bill and add $5/month

Round-up my bill and add $10/month

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For security verification, please enter any random two digit number. For example: 73

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