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2. I would like to help a neighbor in need with a tax-deductible contribution to Project Share.
4. First and Last Name*
6. Address*
7. Waukee, IA 50263
9. Phone Number*
10. Email Address
12. Monthly Donation Amount*
    Type the MONTHLY amount you wish to have added to your utility bill for Project Share.
13. Signature*
    I will contribute the amount entered under "Donation Amount" MONTHLY to Project Share. I understand that this amount will be automatically added to my regular utility bill each month. I am responsible for notifying the Waukee Utility Billing Department at 515-978-5502 if I wish to cease this monthly arrangement. By typing my name in the above box, I am agreeing to these terms.
15. Donate One Time
    To contribute once to Project Share, please mail a check written out to "City of Waukee - Project Share" to: Waukee Utility Billing Department, Waukee City Hall, 230 W. Hickman Road, Waukee, IA 50263.
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17. 1. Receive an email copy of this form.
18. Email address

    This field is not part of the form submission.

19. Submit

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