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Project RELIEF Donation Form

If you would like to donate to Project RELIEF, CWLP's low-income customer assistance program, by adding $1 or more to your monthly CWLP utility bill, please print out this page, fill in the form below and return it to CWLP at the address listed on the bottom of the form. Please include your entire 17-digit account number and sign the form.

If you would like to make a one-time contribution, you can mail a check or money order, made out to Project RELIEF, to Contact Ministries, 1100 East Adams St., Springfield, IL 62703.

Thank you for your generosity.

 

Please, let me help!

Please add the following amount each month to my CWLP utility bill for Project RELIEF.

$_____.___
(Please make your minimum donation $1.00)


Date ________________      Account # _________________________________________

Name ____________________________________________________________________

Address __________________________________________________________________

City/State/ZIP _____________________________________________________________

Signature _________________________________________________________________

Return with your next CWLP bill payment or mail separately to:
Project RELIEF
CWLP Customer Service Office
Municipal Center West
Springfield, IL 62757

Your contribution is tax-deductible.

Last Updated:  01/07/08