Authorization Form for Family In Need

YES, I wish to contribute to the Family in Need Fund. I understand that my electric bills will be rounded up to the nearest dollar. I also understand that this will be effective with my next billing. Should I wish to stop contributing to this fund, I simply need to inform New Enterprise REC.

NO, I do not wish to contribute to the Family in Need Fund.

Lump sum amounts may be contributed at any time. When making a lump sum donation, mark as "Family in Need Fund".

Name: _____________________________________________________

Date: _________________________________