Request for Candidate Affidavit
Instructions: To immediately receive a personalized affidavit in PDF format suitable for printing, complete and submit this form (by clicking the Submit button at the bottom of the page). Print the personalized PDF affidavit, have it notarized and deliver it to:

Betsy Osborn
GreyStone Power
P. O. Box 897
Douglasville, GA 30133

For information call Steve Minor, 770-214-5108.

*Full Legal Name:
*Email Address:
*Residential Address:
*City:
*State:
*Zip Code:

If you are in any way employed by or financially interested in an enterprise or organization that competes with the Cooperative or a business selling electric energy or supplies to the Cooperative, explain below any facts which make this interest so inconsiderable or incidental so as not to pose a reasonable prospect of a conflict of interest if you were to become a director of the Cooperative:



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