Shakopee Account Setup Confirmation
Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Type of residence?
*
Own
Rent
Phone Number
*
Please enter a valid phone number.
Would you like to enroll in paperless billing?
*
Yes
No
Email
*
example@example.com
Would you like to enroll in Service alerts / updates? If yes, enter valid mobile phone or email below
*
Yes
No
Service Alerts via Text
*
Please enter a valid mobile phone number.
Service Alerts via email
*
example@example.com
Submit
Should be Empty: