Project PAL Round-Up & Contribution

Use this form to round up your monthly bill or contribute to Project PAL.

PAL Roundup Program

PAL Roundup Program

Monthly bill is rounded up to the next whole dollar (average of $6/year).

Monthly bill is rounded up to the next whole dollar (average of $6/year).

Every dollar you give goes to PAL grant recipients.

PAL+Plus Program

$1

$3

$5

$10

Other Amount

Other

One-time donation of $ amount

$25

$50

$100

Other amount

Other

Please call me about becoming a PAL Business Partner.

Please call me about becoming a PAL Business Partner.

Member Information

Member Information

First Name *

Last Name *

Account No. *

Email Address *

Home Phone No. *

*

Send me a copy of my responses