Warm Neighbor Contribution Authorization Form

Form authorizing Warm Neighbor donations

The Warm Neighbor Contribution Authorization Form allows your donations to the Warm Neighbor Project to be billed on your gas and water bill.

About the Warm Neighbor Project

This is a program of the Corinth Gas & Water Department administered by the Alcorn County Welfare Association to provide assistance to elderly and others in distress whose source of heat is subject to termination. Customer's contributions to this fund (minimum of $1.00 per month) can be billed on customer's gas and water bill, or donations may be made at the time of payment. To allow this charge to be billed, customers must complete and sign a Warm Neighbor Contribution Authorization Form. (See form WarmNeighbor.pdf)

Read more

Please contact our Customer Service Department at (662) 286-2263 for more information.




Please note that you will need the Adobe Reader software to view the documents. The software is available for free from adobe.com. Click the icon below to download Adobe Reader.

Get Adobe Reader