OpenGO Purchase Form

Part A) Customer Information

First Name

Last Name

Phone

Part B) OpenGO REC Purchase Information

Purchase quantity

Minimum purchase quantity is 1000 kWh

The Registration Date of the REC

Month

Day

Year

Select the acceptable certificate registration date and only purchase to certificates registered after that date

Part C) Payment Method

Select Payment Method

Credit Card

Cryptocurrency（USDT）

Card Holder’s Name:

Card Number:

Expiry Date: (MM/YY)

Cryptocurrency Address:

Only support Ethereum and Polygon

Part D) Certificate Information

Language

English

Chinese

Consent to OpenPower to publish your OpenGO REC purchase related information online for public access

Yes

Part E) Declaration (Please tick to confirm)

I/We have read the details above and agreed to purchase the OpenGO REC described above in accordance with the terms set out under the “OpenGO Renewable Energy Certificate Terms and Conditions” and the “OpenGO Renewable Energy Certificate (OpenGO REC) Specification”, and any other terms and conditions in connection with the OpenGO REC prescribed by OpenPower (as may be revised by OpenPower from time to time). I/We have also read the section below under “Important Notes”.

It is hereby confirmed that the undersigned is the Registered Customer and that the details provided in this form are true and accurate.