PROJECT HELP Please enable JavaScript in your browser to complete this form.Name *FirstLastThe name that the electric bill is under.Account Number- Example 000000000000 *Please put your electric account number. It should be 12 digits long (000000-000000). Leave the dash out when you enter it. You should be able to find this on your bill. Please choose an amount you would like to donate monthly. *Round up to the nearest dollar$1$2$3$4$5OtherIf "Other" is chosen, please put in an amount here.Phone *Email *Drivers License * Click or drag a file to this area to upload. Please upload a picture of your driver's license. Must be the account holder's ID.Comment or MessageSubmit
