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Planned Contribution

If you would like to donate to The Neighbor Fund on a regular basis, use this form to enroll in our Planned Contribution program.

An amount that you determine will be added to your energy bill every month. If at any time you wish to end your participation, simply contact us and let us know.

  • Account Information

  • Contact Information

  • Contribution

  • I wish to participate in the Planned Contribution program for
  • Please add to my energy bill the following donation each month
  • Drop files here or
  • This field is for validation purposes and should be left unchanged.