Project Assist - Clinton Utilities Board

CUB’s Project Assist Program

Each year, families in our community have to make hard choices. Deciding whether they can afford to heat their homes shouldn’t be one of them.

By adding a small contribution to your utility payment, you can make a difference to a family in need. Your entire contribution will go to those in our community who need it the most. Complete the form below to make a donation to the emergency heating assistance program in your community.

All donations are tax deductible within the guidelines of your personal tax situation. ADFAC is a 501c3 agency serving our community since 1987.

I would like to add additional funds to my monthly utility bill to help families in need.

(Even dollar amounts only)

I would like to make a one-time donation of the following amount to be added to my next utility bill to help families in need.

(Even dollar amounts only)

I would like to round up my utility bill to the nearest dollar each month to make a donation to help families in need.

Yes

(My donation will never be more than 99 cents per month and will be less than $12 for the entire year.)

Account Number(Required)

Name(Required)

Address(Required)

Street Address City State ZIP Code

Phone(Required)

Email(Required)

Customer Signature (I understand the guidelines outlined in this Application for Project Assist and hereby request that my account be set up on this plan.)(Required)