Pioneer Electric Area Roundup Authorization

Members wishing to participate in our PEAR program will need to complete the form below. Completing the form will give Pioneer Electric authorization to round up the billing amount of all further bills to the next whole dollar amount. Members may choose to leave the PEAR program by calling our office (800.794.9302) and speaking to a consumer accounts representative. Please note that your status within the PEAR program will apply to the next billing cycle. Feel free to call our office if you have any further questions.

PEAR Opt in Form

Name*

*Please use the name listed on your Pioneer Membership (the name in which the account is under).
Phone*
*Please use the phone number associated with your main billing account.
Address*
Street Address Address Line 2 City State ZIP Code

*Please use the billing address associated with you main billing account.
I would like to round up...*
Primary Account Number*

*This is the number for your main billing account.
Additional Account Numbers:
*Please provide the account number to any additional accounts that you wish to round up. You do not have to fill out this section if you are wanting to round up all accounts associated with your membership. Press the "+" icon to add additional accounts.
Authorization*
- I understand my electric bill will be rounded up to the next whole dollar amount. My total electric bill will include my monthly contribution to the Pioneer Electric Area Roundup program, and I am responsible for paying that amount. I also understand that in order to cancel my contribution, I need to contact Pioneer Electric.
Name*
First Last
*The name placed in this field will be kept on records as authorizing the above form.
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