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National Grid Discount Rate Application

National grid Discount Rate ApplicationYes, I would like to apply for National grid 's Low-Income Discount Rate. I authorize the agency(s) providing mybenefits to release information to National grid for the purposes of enrollment and annual recertification for theDiscount Rate and to notify the company if my benefits are discontinued. I also understand that I must notifyNational grid if my benefits are savings are available to eligible electric grid Account Number:Social Security Number:Name Telephone NumberAddressCity State ZIPI receive benefits from the following program(s):*Please provide proof of benefits.

National Grid Discount Rate Application Yes, I would like to apply for National Grid's Low-Income Discount Rate. I authorize the agency(s) providing my benefits to release information to National Grid for the purposes of enrollment and annual recertification for the Discount Rate and to notify the company if my benefits are discontinued.

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