Request for Safety Demonstration | Riverland Energy Cooperative

New Pay by Phone Number!
We have a new pay by phone number. To pay by phone, please call 855-938-3644.

Thank you for your interest in Riverland Energy's free electrical safety demonstration. Please fill out the following information, and your presentation time will be confirmed as soon as possible. If you have any questions, please contact Beth at 608-409-7052, or balesch@riverlandenergy.com.

Contact Person

Name of School or Group

Contact Person's Phone Number

Date of Presentation

Time Preferred

Second Choice of Date of Presentation

Second Choice of Time Preferred

Age of Audience

How many students/participants will be in attendance?

Notes for the presenter (split in two groups, where to set up, etc.)

Location of Event

Address

City/Town

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New Pay by Phone Number!

We have a new pay by phone number. To pay by phone, please call 855-938-3644.

Contact Us

New Pay by Phone Number!

We have a new pay by phone number. To pay by phone, please call 855-938-3644.

Safety Demo Request