Please provide the following contact information:

First Name	*
Last Name	*
E-mail	*
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country	*
Phone

    * Required fields

Choose one of the following options:

Please inform me only when shares are available
Please update me regarding IREC's progress
Do not send me any information

Please provide the following contact information:

First Name	*
Last Name	*
Title
Organization
Street Address	*
Address (cont.)
City	*
State/Province
Zip/Postal Code	*
Country	*
Work Phone
Home Phone
FAX
E-mail	*

    * Required fields

If I could buy green electricity to cover part, or all, of my consumption, I would be willing to pay a premium of: (Please choose one of the following options)

The real cost up to 20% more up to 40% more up to 60% more up to 80% more up to 100% more *