Hood River Electric & Internet Co-op (HR Co-op) members may request that their capital credit retirements be applied to their accounts instead of receiving a check. Fill out the form to request that your retirement be applied to your HR Co-op bill. Please note that your choice will apply to all of your HR Co-op accounts, for all future capital credit retirements. Most HR Co-op members receive their retirements by check. However, HR Co-op automatically applies capital credit retirements to accounts for all members who have a past-due balance, and for capital credit retirements of $12 or less where there is an active account.Member Name(Required) First Last Account Number(Required) Service Address(Required) Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Email PhoneAuthorization(Required) By checking this box I hereby request and authorize that my capital credit refund be applied to my bill, for all of my accounts with HR Co-op. I hereby verify the above information to be true and complete. I understand that by typing my full name and pressing the Submit button, this form submission will be stamped with today’s date and authorized by me as if I had signed my signature.CAPTCHA
