Operation Round Up Opt-In

YES! I want to help my community by participating in the Operation Round Up® program, which is administered by Dubois REC.

If you would like to participate, by having your electric bill rounded up to the next dollar each month (with an annual contribution of approximately $6) please fill out and submit the form below. If you have any questions, please call 812-482-5454.

Name on Dubois REC Account

First

Last

Dubois REC Account Number

Service Address

City

State/Province

Zip/Postal

Best Phone Number to Reach You

Accounts to Include in Operation Round Up Program

Check Here to include all accounts in your name

Acknowledgement

I understand that checking this box constitutes a legal signature confirming that I am the applicant listed on the application, and am agreeing to participation in Operation Round Up.

If you are human, leave this field blank.

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OUTAGES: 1-812-482-5455 | CONTACT: 1-812-482-5454

Operation Round Up Opt-In

YES! I want to help my community by participating in the Operation Round Up® program, which is administered by Dubois REC.

1400 Energy Drive
Jasper, IN 47546