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Please select a level of Participation

One Time Donation (One time addition to utility bill)
Amount: $
Recurring Donation (added to monthly utility bill)
Other amount (Please Specify):$
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I agree with the MLG&W Privacy Policy and the Responsible Party clause

*Donations are not refundable*
This authorization is to remain in full force and effect until MLGW has received written notification from me of its termination in such time and in such manner as to afford MLGW a reasonable time to act on it. This authorization shall remain in effect if I change the premise where I receive utility services from MLGW. I understand that the authorization may be turned down or terminated at any time.

Questions about Plus-1? E-Mail MLGW at

If you would like to enroll in the program via telephone, please call our Customer Care Center at
(901)544-6549 and at the prompts enter 1-2-6-1.

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