The Coosa Valley Electric Cooperative Firemen’s Friend Program provides CVEC members an opportunity to support their local volunteer fire departments through a voluntary contribution collected on their monthly bills. This collection is passed directly to the designated VFD each month. If you wish to support a local volunteer fire department, please complete this form. Once processed, the requested donation will appear on your monthly bill until you request to terminate the contribution. To terminate the contribution, call (800) 273-7210 and speak to a member services representative. Name(Required) First Last Account Number(Required) Address(Required) Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Designated Fire Department(Required) Monthly Pledge Amount (Min. $1)(Required)