2012 CVEC Records Update Form

1.

Central Virginia Electric Cooperative is in the process of updating our records to include the Physical address (service location address) for each account. Please fill out the following to help us update our records.

CVEC also wants to help our members save money and will send you energy efficiency information from time to time if you share your e-mail address.

If you share your cell phone number the Co-op will use that number to contact you with information during power outages.

As always, CVEC will not sell your personal information and the Co-op will not share your information unless you request us to do so.

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* 1. Account Number

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* 2. Name on Account

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* 3. Physical Address (service location address)

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* 4. City (service location address)

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* 5. State

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* 6. Zip Code (service location address)

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* 7. Home Phone Number (leave blank if you don't have a landline phone)

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* 8. Cell phone number

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* 9. What number would you like to be the primary number on your account?

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* 10. Email Address

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* 11. Comments: