SmartPak Request Form

Page One

Fields marked with * are required.

Do you have an electric water heater? *This question is required.You must have an electric water heater to qualify for the free SmartPak

First Name *This question is required.

Last Name *This question is required.

Address 1 *This question is required. The SmartPak can only be shipped to a home address served by Minnesota Power

Address 2

City *This question is required.

State *This question is required.

Zip Code *This question is required.

E-mail Address *This question is required.

Phone Number

Alternate Phone Number

Minnesota Power Account Number *This question is required. Located on your electric bill

1. Do you have an Event Code? If so, enter it here:

To validate your request, please enter this random code in the box below.