Enrollment Form
Please sign me up for:
Round Up
Round Up Plus: $
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Donate to: (check only one):
- A Kid's Place
- Crockett Elementary
- Crossroads Coffee House
- E. O. Coffman Middle School
- Ethridge Elementary
- God's Storehouse
- Ingram Sowell Elementary
- Lawrence County Education Foundation
- Lawrence County High School
- Lawrence County Humane Society
- Lawrence County Public Library
- Lawrenceburg Public
- Leoma Elementary
- Loretto High School
- New Prospect Elementary
- Red Cross
- Sacred Heart (Lawrenceburg)
- Sacred Heart (Loretto)
- Safe-N-Smart
- South Lawrence Elementary
- Spirit of Santa
- Summertown Elementary
- Summertown High School
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| Name: |
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City, State Zip: |
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Phone: |
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Signature: _______________________________________________
Please be sure to complete this form entirely, print it, sign it and mail to:
Lawrenceburg Utility Systems
ATTN: Round Up
PO Box 649
Lawrenceburg, TN 38464
ATTN: Round Up
PO Box 649
Lawrenceburg, TN 38464
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Lawrenceburg Utility Systems is proud to partner with our community! |