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Membership Agreement
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* Indicates required question
First Name
*
Your answer
Last Name
*
Your answer
Street Address
*
Your answer
City
*
Your answer
Zip Code
*
Your answer
Email Address
*
Your answer
Phone Number
*
Your answer
How did you get referred to PBSE?
*
Online/Website
Online/Social Media (Instagram, FaceBook, etc.,)
PBSE Member
PBSE Board Member
Another Organization/Person
Other:
Required
As a potential future member of PBSE, what would be a committee of interest for you to participate on?
Energy Advising
Membership & Outreach
Community Solar
Other:
How would you identify your interest area
*
Community Advocate/Leader
Non-Profit Professional
Michigan Resident
Sustainability Professional
Skills-Tradesman/Tradeswoman (HVAC, Electrical, Plumbing, Masonry, Carpentry, Ironworker, etc.,)
Researcher/Scienctist/University Affiliate
Teacher, Instructor or Educator
Small Business Owner
Renewable Energy Trades (Solar PV, Geothermal, Wind Turbine, Hydroelectric, Biomass, etc.,)
Public Service Professional (Municipal/County/State/Federal)
Other:
Required
Who you referred you, if anyone?
Your answer
Do you have other people that you think would be interested in joining PBSE in the future?
Yes
No
Maybe
Clear selection
I've read and agree to page 1 of PBSE's Membership Agreement.
*
Yes
No
Effective Date
*
MM
/
DD
/
YYYY
I've read and agree to page 2 of PBSE's Membership Agreement.
*
Yes
No
I've read and agree to page 3 of PBSE's Membership Agreement.
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Yes
No
I've read and agree to page 4 of PBSE's Membership Agreement.
*
Yes
No
I've read and agree to page 5 of PBSE's Membership Agreement.
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Yes
No
I've read and agree to page 6 of PBSE's Membership Agreement.
*
Yes
No
I've read and agree to page 7 of PBSE's Membership Agreement.
*
Yes
No
I have thoroughly reviewed and read this Membership Agreement and attach my digital signature as indication of my consent to join Polar Bear Sustainable Energy Cooperative by checking "YES".
*
YES
No
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