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Sign Up For Community Energy Assistance Program
Liberty Utilities Account Number*
Last Name on Account*
Donation Amount*
$1
$5
$10
$20
$50
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I agree*
I authorize Liberty Utilities to add the amount I have indicated below to my monthly gas bill to help neighbors in my community to pay their gas bills. I understand that my gas bill will be increased by this amount each month until I notify the company that I want to end my participation in the program.