Name

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* 1. Name

Account Number

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* 2. Account Number

Address

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* 3. Address

City

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* 4. City

State

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* 5. State

Zip Code

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* 6. Zip Code

Home Phone

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* 7. Home Phone

Cell Phone

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* 8. Cell Phone

Email Address

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* 9. Email Address

Check the boxe(s) that best describe you

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* 10. Check the boxe(s) that best describe you

How often do you visit our website, www.psrec.coop, for information?

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* 11. How often do you visit our website, www.psrec.coop, for information?

What are your preferred forms of communication from Plumas-Sierra REC?

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* 12. What are your preferred forms of communication from Plumas-Sierra REC?

Do you consent to be contacted by PSREC at your contact number(s) provided, via automated calls for the purpose of providing account notices, including but not limited, billing reminders, collections and outrage notices and updates?

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* 13. Do you consent to be contacted by PSREC at your contact number(s) provided, via automated calls for the purpose of providing account notices, including but not limited, billing reminders, collections and outrage notices and updates?

T