High Plains Power, Inc.

August 28, 2008

operation roundup

The choice is yours. If you choose to contribute, please print and fill out the form below. You may leave it with our customer service representatives, mail it to us with your next bill, or call.

YES - PLEASE ROUND UP MY BILLS

Name ___________________________________________________

Address ________________________________________________

Phone __________________________________________________

Account# _______________________________________________

I have more than one account, please round up all of my accounts

I have more than one account, please round up the following accounts

________________________________________________________
                      Account Number(s) 


Signature ______________________________________________
Date ____________________

To receive an application call our customer service representatives 307-856-9426 or 1-800-445-0613, or you may click on the appropriate selection below and print your application from this website.

Requires Adobe Acrobat Reader.

Application for Donation for Individual and/or Family

Application for Donation for Organization or Agency

High Plains Power, Inc.
Riverton Headquarters
230 West Main Street
P.O. Box 713
Riverton, Wyoming 82501
Phone: 307-856-9426
1-800-445-0613
Fax: 307-856-4207

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