2026 National Co-op Month Contest

Complete this form with your current contact information and submit for a chance to win one of five $90 bill credits. Members providing the co-op with an email address for the first time will also automatically receive a $5 bill credit. Submissions must be received by the co-op before Nov. 2 in order to receive any credits or prizes.

Firelands Electric will never sell or give out your contact information. It will only be used to provide you with important co-op updates.

First and Last Name (as appears on account)

Service Address

Address 2

City/Town

ZIP/Postal Code

Mailing Address (if different from above)

Address 2

City/Town

State/Province

ZIP/Postal Code

Primary Phone Number

Additional Phone Number (optional)

Email Address

Lines of Communications: Co-op Month Contest

2026 National Co-op Month Contest