Help others by giving to Winchester Utilities Project Help Program

 

Yes, I would like to help those in need of help, such as the elderly and disabled, with their utility bill. Please add $1 (or more in an even dollar amount: $_______) to my utility bill until further notice. I understand my contribution to Project Help is tax deductible. If you are already giving, you do not need to complete this form again.

 

100% of all donations collected will go into the Project Help program.

 

Name (as it appears on the utility bill) _________________________________________________

 

Address _________________________________________________________________________

 

Account Number ___  ___  ___  -  ___  ___  ___  ___  -  ___

 

Signature ___________________________________________   Date _____________________

 

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Please print this form and send it to:

Winchester Utilities

219 2nd Ave. NW

Winchester TN 37398

 

The donation will be added to your monthly bill. Thank you!