Heart of the Earth - Home Energy Use Form

Home Energy Use Form

Please Print, complete and return this form to:

Heart of the Earth, 9601-16 Miccosukee Road, Tallahassee, FL 32308
Call (850) 216-8400 for more information

Your utility company reports the units of measure for electric use as kilowatt-hours (KWH) and the units of measure for the use of natural gas as cubic feet (CF). Your utility bill from the City of Tallahassee has this information organized in such a way that it can be easily transferred to the form below. Talquin Electric Cooperative reports only your current year information on their bills but you can request your historical records by calling 893-6853 (Bradfordville), 926-7422 (Crawfordville), 562-0125 (Lake Jackson), or 878-4414 (Quincy).

You can report your progress by month, quarter, or annually and we'll keep track of it as long as your remember to provide your member name and Utility Company.

Member Name/Address:
Utility Company:
Month	Electric Last Year (KWH)	Electric This Year (KWH)	Natural Gas Last Year (CF)	Natural Gas This Year (CF)
January
February
March
April
May
June
July
August
September
October
November
December
How would you like to receive your annualized projections?			E-Mail ______	Snail mail ______
E-mail Address:

Remember to include your name, address and utility company along with your energy usage on your submitted form.

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