Donate Capital Credits to Polk-Burnett’s Scholarship Fund

Members of Polk-Burnett Electric Cooperative have an option to donate their annual Capital Credits to the co-op’s scholarship fund.

The scholarship fund was established in 1987 with unclaimed Capital Credits. If not used for education, unclaimed Capital Credits were forfeited to the state.

Each year, the fund awards thousands of dollars in scholarships to the sons and daughter of co-op members.

To donate your future Capital Credits to the scholarship fund, please complete this form.
You can change your enrollment in this program at any time. Thank you!

For more information, please see Capital Credits, Scholarships or call 800-421-0283.

YES, I’D LIKE TO DONATE MY FUTURE CAPITAL CREDITS TO POLK-BURNETT’S SCHOLARSHIP FUND

First Name

Last Name

Member Account Number

Email Address

Phone Number

CAPTCHA

This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.

Members can unsubscribe to this donation option at any time by contacting our billing office, 800-421-0283, ext. 335.

Member Signature

Signature(s) are required from all named on your electric account. Your donation request and signatures will be confirmed by the co-op’s billing office to protect your Capital Credit allocation.

Would you like to Donate Capital Credits to Polk-Burnett’s Scholarship Fund?

YES, I’D LIKE TO DONATE MY FUTURE CAPITAL CREDITS TO POLK-BURNETT’S SCHOLARSHIP FUND