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4. Cranberry Township Sewer/Water/Solid Waste Bill Donation Form

6. Option 1 - Recurring Pledge:
8. I authorize Cranberry Township to include my monthly pledge of $______ on my water/sewer/solid waste bill to support the Cranberry Township Community Chest (CTCC).*

   Enter dollar amount above

10. Name:*
11. Bill Account Number:*
13. Service Address:*
15. Phone Number:*
16. Email Address:*
18. I understand that this will become effective on my next bill and will continue until I notify Cranberry Township to change/cancel my pledge.
20. E-Signature:*
21. Date:*
25. Option 2 - One Time Donation

27. Make a one-time donation to support the Cranberry Township Community Chest by check. Please make check payable to: Cranberry Township Community Chest and mail to:

    Cranberry Township Community Chest
    2525 Rochester Road, Suite 450
    Cranberry Township, PA 16066

    Cranberry Township Community Chest (CTCC) is a 501(c)(3) organization. All donations are tax deductible. 
    Please direct any questions to yourctcc@gmail.com or call 724.776.4806 x1175

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29. 1. Receive an email copy of this form.
30. Email address

    This field is not part of the form submission.

31. Submit

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