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The Brilliance of Giving
  Partner Programs
for Houses of Worship

Please complete this form and we will contact the electricity user to provide them with information on how they can support your House of Worship through participation in the Brilliance of Giving energy program.

BUSINESS ENTITY INFORMATION
Business Name:
 Email Address:
 Telephone:
Address:
 City:
 State:
      Zip:
  
Contact First Name:
 Contact Last Name:
  
MEMBER INFORMATION
First Name:
 Last Name:
 Telephone:
Email Address:
 House of Worship:
    Comments: (Please provide any additional information here.)
  


  
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