Power To Share by Rounding Up Opt In/Out Form

Required fields are marked with *

Opt-in or Opt-out

Opt-In

Opt-Out

*Name as it appears on bill

*LCEC Account Number

*Last 4 digits of SSN

In addition to rounding up your bill each month you are able to make an additional donation to the program. Please choose one or both of the options below.

Additional Monthly Amount

One-Time Additional Amount

Terms and Conditions:

By submitting this electronic form, you authorize LCEC to enroll you in Power to Share by Rounding Up. Each month, your electric bill will be rounded up to the next whole dollar plus any additional amount specified. These funds will be donated to the LCEC Power to Share Program administered by United Way. All contributions to Power to Share are tax deductible and will be reflected separately on your bill. You will remain enrolled in Power to Share by Rounding Up until you notify LCEC of your intent to discontinue participation.

I have read and agree to the above terms and conditions.