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Home > In Our Community > Community Partnerships > Neighbor to Neighbor > Sign Up

Neighbor to Neighbor Sign Up Form

YES, I want to help my neighbors:
I hereby authorize JEA to add the amount indicated below to my electric bill and to continue to add that amount to each bill until I notify them that I no longer wish to participate.

Electric Account Number

  

Name (counts as your signature)

Email

  

Service Address

City

  

State

Zip Code

  

Amount of Neighbor to Neighbor gift
$2  $5  $10  $Other

I have already enrolled and wish to increase my monthly gift to: $ 



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Under Florida law, e-mail addresses are public records. If you do not want your e-mail address released in response to a public-records request, do not send electronic mail to this entity. Instead, contact this office by phone or in writing.