Mail-in Application Form for Free Electricity

Before you fill out the information below, please read these simple guidelines first. In order to make our program work, we must enforce the following rules:

  1. By signing up now, in the "pre-production" phase, you will not be charged for application, installation, or maintenance. And you will receive electricity free (up to 26,000KW per year) if and when the generator becomes available.
  2. You must apply for a residence. No businesses or commercial properties are allowed!
  3. If you are applying for a residence, but you do not own the home, you must have the signed permission of the owner.
  4. There is only one unit permissible per residence. It must be within the US or Canada.
  5. Prior to installation of the units, ITEC will require you to attend and witness a working demonstration of the system.
  6. If you already have a registration for an address please DO NOT apply again for that same address.

We are very grateful for your cooperation and will be delighted to add you to our list of homeowners in line to receive free electricity.

Please print this form, fill out the following information and mail to this address:
Free Electricity
P.O. Box 20
Osceola, IN 46561-0020

(Please Print) Forms with incomplete or unreadable information cannot be processed.

Installation Address:
Full Name:           
Street Address:      
City:                
State:               
ZIP                  
Phone number:        
MAILING Address (if different from above):
Street Address: City State ZIP
I/We own the above property. I am a Renter.*

Signature: DATE:

* I own the property listed as "Installation Location" and approve installation of "Electricity Generator" on this property.

Owner's Signature:
DATE:

Finally, please tell us how you heard about us: (name of friend/relative, etc.)