Operation Round Up Application

Round-Up Agreement

  1. I hereby authorize Brunswick Regional Water & Sewer H2GO to Round Up my Water Bill either to the next whole dollar amount and/or an additional dollar amount that I specify.
  2. I have the right to withdraw from Operation Round Up by notifying Brunswick Regional Water & Sewer H2GO by the next billing date (10th of each month).
  3. If my account should ever be in arrears, I will be withdrawn from the plan.
  4. I understand that Brunswick Regional Water & Sewer H2GO reserves the right to terminate this program and/or my participation therein.
  5. I understand that Brunswick Regional Water & Sewer H2GO will forward 100% of monies collected from Operation Round Up to the designated Community Partners for the purpose of helping those in need.
 

Account Name(s):

Type of Contribution:

Thank you for joining Operation Round Up!