Round Up for Project Share Authorization

If you would like to sign up for a Project Share Fund donation, please fill out the form below.

 

Customer Name: *
Account Number: *
E-mail: (For your protection, if email doesn't match your account, a representative will contact you for further verification) *
Service Address: *
Phone: *
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.)
Choose ONE of the following: *
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OR
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Website *