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Information message
Operation Round Up® is a voluntary program funded by High West Energy members who choose to have their monthly electric bill "rounded up" to the next dollar.
The money you donate to Operation Round Up® helps individuals, communities, and organizations in and around the co=ops service area in times of loss or need. Donations have gone to help those impacted by tragedy, illness, fires, natural disasters, etc. You can use this form to request support for you or others, including heating assistance, shelter, public safety, and other basic human needs. Disabled veterans may also be eligible.
NOTE: Referrals will remain confidential.
Name of Referrer
Phone Number of Referrer
Date of Submission
Who are you referring to Operation Round Up®?
What is their account number and/or address?
Please explain the circumstances on which your referral is based:
Signature of Referrer
Signature of Referrer
Leave this field blank
