If you would like to sign up for a Project Share Fund donation, please fill out the form below. EmailThis field is for validation purposes and should be left unchanged.Name(Required) First Last Account Number(Required)Service Address(Required) Street Address City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code PhoneEmail Address Donation FrequencyChoose to make either a monthly or one-time donation. Pick 1 of the following.I want to make a monthly contribution. I authorize Mason PUD 3 to bill my account in the following method for the Project Share Fund:(This authorization shall remain in effect until PUD 3 receives written notification from me to terminate this agreement. I understand that if my account becomes past due, this authorization becomes invalid.) Round up my bill to the nearest dollar each month Bill my account monthly for a set amount Enter your monthly donation amountPlease select an amount-Select one-$5 per month$10 per month$20 per monthOtherPlease enter your Monthly donation amount Or I would like to support the Project Share Fund with a One-Time donation Make a one-time donation Enter your One-Time donation amount
