City of Topeka | Water RoundUp Contribution Form

Randy Speaker, Director

620 SE Madison
Topeka, KS 66607
rspeaker@topeka.org

Public Works Contacts

Tamara Whorton, Utility Accounts Manager

Topeka, KS 66606
785-368-3111 Tel
785-368-3825 FAX
twhorton@topeka.org

Water Contacts

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Public Works | Water RoundUp Contribution Form

Water - Stormwater - Wastewater - Refuse
Yes, I would like to make a tax-deductible contribution to the Water RoundUp program to help local charitable agencies assist those less fortunate in our community with their combined City of Topeka Utility Bill.

Name:

Service Address:

Phone:

Utility Bill Account # (if known):

I want to make a tax-deductible contribution of: (choose one of the two below)

OR: (please specify)

I understand that I will be billed this amount each month on my City of Topeka Utility Bill, and I can stop contributions at any time.

Please click the 'submit' button below to send your completed form electronically. Otherwise, please print, complete and either:

send by mail to Topeka Water, 3245 NW Water Works Dr, Topeka, Kansas, 66606
fax to 785-368-3825
enclose with your next combined City of Topeka Water Bill

Thank You for Participating in Water RoundUp

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Last Updated: Wednesday July 27 2011