Please print and mail the following interest sheet to:

Washington Electric Cooperative, Inc.
Attn. Deborah Brown
PO Box 8
East Montpelier, VT 05651



I am interested in WEC's Community Fund.  
 
[  ] Please send me an authorization form when another refund will be issued and I will consider contributing this refund to the Community Fund.
 
[  ] Please deposit the enclosed check into the WEC Community Fund account.

Name:_______________________________________ Map# ____________________


Mailing Address: ________________________________________________________
(P.O. Box/Street)

__________________________________, ______ _____________
City/ Town State ZIP




Account #____________CC #_____________


______________________________________________
Member's Signature



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