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Legislative Center

Minnesota Electric Cooperative Grassroots Advocate

Your electric cooperative, in conjunction with its state and national organization, is conducting a survey of individuals who are interested in serving as advocates for electric cooperatives.  The information you provide will help us keep you informed about issues that affect your electric co-op. By agreeing to be a supporter, and filling out the form below, it is anticipated that your assistance will be sought only a few times a year. All information will remain confidential.  Thank you for your help.

Name:

Home Address:

City: County: Zip:

Business Address:

Job Title:

If you are a co-op employee, how long have you worked at the co-op? years

Home Phone:   Business Phone:

Home Fax:   Business Fax:

Home E-mail:   Business E-mail:

Do you receive power from a co-op?   If yes, name of co-op:

Community, Legislative and Political Activities

Please let us know if you are an elected official, or know any elected officials, such as county commissioner, mayor, hospital or school board member, state official or member of Congress or any business or civic leaders:

 


Providing service and leadership for electric cooperatives.

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