Power2PR Recipient Application

Please complete the information below, either for yourself or for someone you know who is in need. We will reach out according to the contact information listed below.

This application helps us to know exactly where the need is – so spread the word – have anyone you know complete this form. They can reach us by texting SolarPR to 51555.

Once registered, you will receive updates every 1st and 15th of the month.

Thank you for your time, patience and continued hope – we have a solution and we are working to bring these boxes to you!

Power2PR Applicant

If you are human, leave this field blank.

First Name *

Last Name *

Address *

Phone Number

Email Address

Municipality *

People in household *

Please explain situation *

Contact Method *

Do you speak english?

Yes

Do you know anyone else who might help from a government, business, organization or community leader position?

Yes

Please enter the name, position and contact information of anyone you think might help.

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Power2PR Recipient Application

Spread the word – Text SolarPR to 51555 to join forces towards Energy Independence!