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First Name
Last Name
Address
Zip
City
Telephone Number
Email
I want to round up my bill to the nearest dollar
I want to do more for my community each month
Donate on my bill
$5
$10
Other
Enter Amount
I want to do more for my community one time
Enter an amount to donate
I agree
I, as the above named member, authorize MTE to add the selected gift amount to my monthly electric bill and
agree that this authorization will remain in effect until I notify MTE at (877) 777-9020 to cancel my enrollment or
change my contribution.
