Energy Assistance Fund
Donation Form
Please join SCE, its employees,
shareholders and the United Way® by
contributing to this important cause.
Your tax-deductible donation, large or
small, will help brighten the lives of
families in need.
DONOR INFORMATION
Last Name_____________________________________ First Name_____________________________________
Street_______________________________________________________________________________________
City____________________________________ State_________ Zip Code________________________________
Customer Account Number______________________________________________________________________
Phone Number_________________________________ Email__________________________________________
Signature____________________________________________________________________________________
DONATION AMOUNT INFORMATION (please write in amount and
check the method you are donating through)
One-Time Donation Amount: $_________
Check
Money Order
To donate by mail, include this form with
your check or money order payable to the
Energy Assistance Fund, and mail it to:
Energy Assistance Fund
1515 Walnut Grove Ave., 2
nd
Floor
Rosemead, CA 91770
FOR OVER 100 YEARS…LIFE. POWERED BY EDISON
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