Change For Change - Talgov.com

Sign Up for Change For Change

Below is the form to sign up for the ¢hange for Change program. By completing the form below, you are certifying that you are the primary account holder and that you wish to make a monthly donation to help the homeless in the community. Please fill out the form completely, and you will receive a letter in the mail within seven days confirming your enrollment at the address on file for your account.

Change for Change Signup Form (all fields required)
Account Number (10 digit number)
Monthly Contribution:
Account Holder Name
Email
Daytime Phone Number	(XXX-XXX-XXXX)
YES! I'd like to participate in the ¢hange for Change Program. I hereby authorize the City of Tallahassee to add the amount indicated below to my monthly utility bill and continue until I notify the City that I no longer wish to participate. All funds donated go toward support of the program. I understand that my contributions are 100 percent tax deductible. By clicking "Submit Form", you are confirming that you have read and agree with the terms and conditions of the Talgov.com Privacy Policy.

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Sign Up for Change For Change