ACRE - Action Committee for Rural Electrification

ACRE - Co-op Owners for Political Action

Co-op Owners for Political Action Authorization Form

Yes! I want to help keep the voices of rural electric cooperatives heard in the political process by participating in Co-op Owners for Political Action. Please add the following amount monthly to my electric bill:

Regular ACRE Member: $2.08 per month ($25/year)

Century Club Member: $8.33 per month ($100/year)*

President's Club Member: $41.67 per month ($500/year)*

I affirm that my contribution has been made with non-corporate funds.

Member First Name:

Member Last Name:

E-Mail Address:

Account Number:

Address:

Address # 2:

City Name:

State:

Zipcode:

I am sending a check instead of paying through my monthly bill.

* Federal Electric Law requires the following information for contributions equal to or exceeding $200:

Employer:

Occupation:

Choptank Electric Cooperative, Inc., P.O. Box 430, Denton MD 21629 Toll Free: 877-892-0001