Instructions: Please print and mail this form.

Maine Interfaith Power & Light

Green Tags Order Form

Green Tags are a tax-deductible way to pay for clean air, a healthy environment and energy independence. Each Green Tag is based on 1,000 kilowatt-hours (kWh) of electricity generated by wind and solar facilities in the Western United States.

When you order Green Tags, you will receive:

If you use 6,000 kWh of electricity per year (about average for a Maine household):
100% Annual Electricity Emissions Offset = 6 Green Tags = $120
50% Annual Electricity Emissions Offset = 3 Green Tags = $60
25% Annual Electricity Emissions Offset = 2 Green Tags = $40
Order amount:  _____  Green Tags @ $20 each = $  __________

Name:	 _________________________________________________

Address: _________________________________________________

City:	 _________________________________________________

State:   ____  Zip:  _________  Telephone:  _________________

E-mail:	 ________________________________________________

Please enclose a check made payable to MeIPL. Please do not send cash.

Your purchase is a tax-deductible charitable contribution. MeIPL will buy the number of Green Tags that you designate and retire the underlying tradable renewable energy certificates. You will receive both an acknowledgement of your contribution and a notice confirming that your Green Tags have been retired.

Please return this order form and your check to:

Maine Interfaith Power & Light
P. O. Box 146, Brunswick, ME 04011

Thank You!
Questions? Please visit our web site at http://www.meipl.org/ or contact
Fred Horch, Project Coordinator, (207) 729-9665, fred@meipl.org.