Account Number Phone Number Name Service Address City State Zip Increase Agreement Increase Agreement I would like to increase the amount of my contribution to the Green Cents Program. I understand that my utility bill will be rounded-up to the nearest dollar amount automatically. My additional contribution will be added to the rounded up amount. Increase Amount Cancel Green Cents Cancel Agreement I would like to cancel my participation in Green Cents. I understand that my utility bill will NOT be rounded-up to the nearest dollar amount automatically. I can choose to rejoin the program at any time. Captcha This question is for testing whether you are a human visitor and to prevent automated spam submissions. CAPTCHA This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.