Operation Round Up Name(Required) First Last Service Address(Required) Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Phone(Required) Email(Required) Consent(Required)By submitting this electronic form, you authorize Mountain View Electric Association, Inc. to enroll you in Operation Round Up. Each month, your electric bill will be rounded-up to the next whole dollar. These rounded funds will be donated to Mountain View Electric Association, Inc.’s Operation Round Up Fund, a qualifying 501(c)3 non-profit organization. All contributions to Operation Round Up are tax deductible and you will receive an annual statement of your contributions on your January bill. You will remain enrolled in Operation Round Up until you notify Mountain View Electric Association, Inc. that you wish to discontinue your participation. I hereby verify the information to be true and complete and agree to the terms and conditions. I understand that by typing my full name and pressing the Submit button, this form submission will be stamped with today’s date and authorized by me as if I had signed my signature.Member Electronic Signature(Required) CommentsThis field is for validation purposes and should be left unchanged.
