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Formerly Sand Prairie
Formerly JISP
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About JCE
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Youth to Washington
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Power-Up NW Illinois Geothermal Interest Form
Geothermal Site Assessment/Cost Estimate
By completing this form, you are showing interest in the Power-UP Northwest Illinois Geothermal program and understand you will be contacted by one of the program contractors.
First Name
Last Name
Address
Address
Address 2
City/Town
ZIP/Postal Code
Phone Number
Email
Utility Provider
Utility Provider Name
JCE Co-op
MidAmerican
ComEd
Nicor
Other…
Enter other…
Heating fuel source
Heating fuel source
JCE Co-op - Electric
JCE Co-op - Natural Gas
Natural Gas
LP/Propane
Fuel Oil
Other…
Enter other…
Do you have a copy of your utility bill?
Utility bill
Yes
No
How did you hear about Power-Up NW Illinois Geothermal?
Power-Up NW Illinois
Co-op Newsletter
Email
Co-op website
Facebook
Online search
Word of mouth
Other…
Enter other…