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StormSafe surge protection order form

StormSafe Surge Protection Order Form

Order Today! Power surges are sudden increases in voltage caused by storms or damage
to utility poles and power lines. Power surges can enter your home without warning through power, phone or cable TV lines. More importantly, they can harm appliances like your refrigerator and
sensitive electronics such as your computer. This offer is only available to RG&E customers.

>> Special Offer! Sign up for three years of StormSafe Meter-base service and RG&E will
      waive the $34.95 installation charge!
* Required fields.

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 Account and
Billing Information

  

  * First Name

  

 * Last Name

  

 * Street Address

  

 * City

  

 * State

  

 * ZIP Code

  

* RG&E 11-digit Account Number

   

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 Mailing Address

  
   Same as billing address

 Street Address

  

 City

  

 State

  

 ZIP Code

  

 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

 

 Contact Information

  

 * Phone

   

 Work Phone

      ext.

 * E-mail Address

  

 * Confirm E-mail Address

  

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 LEVEL 1:

 StormSafe Meter-base Service (Select one)
 To protect major appliances

 
 $6.95 per month for 2 years plus $34.95 installation charge

 $6.95 per month for 3 years and FREE installation

 

  

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 LEVEL 2:

 Plug-In Surge Protectors
 To protect sensitive electronic equipment

 
 Model                          Unit Price           Quantity/Cost of Units

 P8VT3                          $32.99                

 
 Pro8T2                          $28.99               

 
 Back-UPS BE350R     $44.99              


Applicable shipping/handling costs and local sales tax will be included in your RG&E bill
after your StormSafe order has been shipped and/or installed.