Gift of Electricity Form

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800-552-3904

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800-920-9288

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Gift of Electricity Form

Step 1: Please submit the gift form to connect your gift with the recipient’s account.

Step 2: You will then be directed to process your payment electronically through our Pay Now as a Guest page.

Please enter the gift amount and the recipient's account number information. If you wish to be acknowledged for your gift, please complete your name and your email or address. If you wish to remain anonymous, please check the box indicating that.

Amount of Gift

$0.00

Recipient's Account Number

Your Information

Name

Phone

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Check this box if you wish to remain anonymous.

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