ACRE Authorization Form

Authorization Form

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Yes with Check Mark
 

I want to help keep the voice of rural electric cooperatives heard in the political process by participating in the ACRE Co-Op Owners for Political Action. 


Please add the following amount to my monthly electric bill or mail a check with the completed form *
I affirm that my contribution has been made with Non-corporate funds
Name *
Name
(only required when mailing a check)
Federal Election Law requires the following information for contributions equal to or exceeding $200
Contributions to ACRE | ACRE Co-Op Owners for Political Action are strictly voluntary. Contributions to federal and state Political Action Committees are not deductible for federal income tax purposes. Consumer-Owners have the right to refuse to contribute without reprisal. The contribution guidelines are suggestions only. You may contribute more or less than the recommended amount. Contributions may be stopped at any time upon notification to the cooperative.
By clicking SUBMIT below, I acknowledge my monthly contribution