Roundup for Safety Enrollment

If you are a member of Flathead Electric not currently participating in Roundup for Safety, please sign up for the program using this form.

Account Holder Information

First Name

Last Name

FEC Account Number

Address where you receive FEC electric service

Street

City

State Abbreviation

Zip Code

Authorization

Electronic Signature of Authorized Account Holder (Full Name)

Accept Terms and Conditions

I understand that my monthly electric bill will be rounded up to the nearest dollar with the extra money going into a fund for community safety projects. I understand that by typing my full name above and pressing the Submit button below, this form will be stamped with today's date and authorized by me as if I had signed my Signature

Salesforce Required Fields

Program ID

Record Type Name

FEC Form Owner Email