Indefinite Rollover Election Form

Member Name(Required)

First Last

Service Address(Required)

Street Address Address Line 2 City State ZIP Code

Is the Service Address the Same as the Mailing Address?(Required)

Yes

Mailing Address

(If different than above)

Street Address Address Line 2 City State ZIP Code

I am electing Option 2 – Indefinite Rollover as defined in Mountain View Electric Association’s 20.42 Net Metering Rate.

Please check the box below to agree to the terms.(Required)

I understand that all excess generation from my account listed above will be carried forward from month-to-month and year-to-year for the term of my service.

Please check the box below to agree to the terms.(Required)

I understand that my account will not be included in the annual true-up for excess generation.

Please check the box below to agree to the terms.(Required)

I understand that should I no longer be a Consumer-Generator or if I terminate my electric service , I will forfeit any excess generation and receive no credit or compensation of any kind for any excess generation.

My election for Option 2 – Indefinite Rollover will be effective as of (MM/DD/YYYY)(Required)

Today's Date (MM/DD/YYYY)(Required)

Member Signature(Required)

By typing your name in this field, you are stating that you understand and agree to the terms listed on this form.

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Name

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