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Cash-back Contract Acceptance

Sign up for great discount and cash-back rewards. Please enter the details exactly as they appear on your letter and Contract Acceptance Form.

Letter Reference
MPRN
Supply Address
Contract Start Date
NB, format is dd/mm/yyy eg, 25/09/1965
Please tick to indicate your chosen contract option
Description Duration Please select Notes
1% cash-back 12 months 1% cash-back at end of Year 1
2% cash-back 24 months 2% cash-back at end of Year 2, plus 1% at end of Year 1
3% cash-back 36 months 3% cash-back at end of Year 3, plus 2% at the end of Year 2, plus 1% at the end of Year 1
Company/organisation name
Your full name
Your position/title
Your email
Your telephone
Customer Acceptance
I confirm that I am authorised to make this decision on behalf of the above company/organisation. We agree to remain a Power NI customer for the duration of the contract period and accept the Terms and Conditions as explained in our Contract Offer letter.
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