Member Survey | Shelby Energy Cooperative

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Name

Phone

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Account Number:

Building Type

Please select the building type for your "main" Shelby Energy account.

When was your home built?

Please describe the age of your home.

Number of Occupants

Please tell us how many permanent occupants live in your home.

Primary Member Age

Please tell us how many permanent occupants live in your home.

Primary Member

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