Project PAL Round-Up & Contribution

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

PAL Roundup Program

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.

First Name*

Last Name*

Account No.*

Email Address*

Home Phone No.*

Send me a copy of my responses