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Interest Sheet

Please print and mail the following interest sheet to:

Washington Electric Cooperative, Inc.
Attn: Capital Credits
PO Box 8
East Montpelier, VT 05651

I am interested in WEC’s Community Fund.
[  ] Please send me an authorization form when another refund will be issued and I will consider contributing this refund to the Community Fund.
[  ] Please deposit the enclosed check into the WEC Community Fund account.

Date: ___________________

Name:  __________________________________________________________

Mailing Address: ___________________________________________________

City/Town:  _______________________________  State:  ____  ZIP:  _______

Map# ____________  Account #_______________



Member Signature:  ______________________________________


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