VIP UTILITY SOLUTIONS
PARTNER FORM
Last updated: 6/8/2026
ACCOUNT EXECUTIVE WORKING WITH AGENT
Please Select
VIPUTILITY AMBER & DEBRA
ERICA LUUGA 9900601
CARMEN NANTANSKI
CHERYL SCHMANDT
CHRYS & JEN
DEBBIE J
JAMIE
KARINA LOVETT
KIMBERLEE CRAWFORD
MELANIE TEMPLE
SOPHIE
ERICA LUUGA
NAME OF APARTMENT COMPLEX
ADDRESS OF COMPLEX INCLUDE CITY STATE & ZIP
OTHER ADDRESSES AT COMPLEX INCLUDE CITY STATE & ZIP
Addresses used for tenants if not the same as complex address
COMPLEX PHONE (ONLY IF CAN BE CONTACTED AT OFFICE)
Please enter a valid phone number.
Format: (000) 000-0000.
Services Available to Enroll at Complex
Electricity
Internet
BULK/Instant On (CANNOT DO INTERNET HERE)
Renters Insurance
County Not eligible for Toggle
Electric paid by complex, cannot set up electric here
Internet Companies: Please only choose the companies that are available at your complex.
AT&T LOW SPEED
AT&T FULL FIBER
AT&Air
AT&T Instant on ... Cannot set up
Earth Link Fiber 300 mbps and up
Earth Link Low speeds
Spectrum
Spectrum bulk community cannot set up
Optimum/Altice
Frontier
Xfinity(Comcast)
None or with complex
Other
Is Insurance Required?
*
No
Yes $100k liability
Yes 300k liability
INSURANCE: Interested party information that is needed for insurance (Tab through to fill in email and the amount of Liability required.
Check Check All that Apply. We must have this information to set up insurance
Fire Extinguisher
Smoke Detector
Dead bolt lock
Smart Water Valve
Local Fire Alarm
Central Fire Alarm
Sprinker System
Local Burglar Alarm
Police connected Burglar Alarm
Doorman
PARTNER INFORMATION
CONTACT / AGENT NAME
*
First Name
Last Name
CONTACT/ AGENT CELL
I agree to receive calls, emails, and text messages from VIP Utility Solutions regarding my partnership inquiry, account information, referral program updates, and related business communications. Message and data rates may apply. Message frequency varies. Reply STOP to opt out at any time and HELP for assistance. Consent is not a condition of doing business.
Format: (000) 000-0000.
CONTACT/ AGENT EMAIL
example@example.com
Preferred Payment Method (
Please Select
PayPal
Zelle
Venmo
APPLE Cash
Other
Direct Deposit Via Bank Account (pays weekly) IF direct deposit is preferred call us for different form.
Zelle - Email or Phone number you used to set it up.
PayPal - (Email you use for PayPal or @YOUR USER NAME
Venmo (@HOW YOU REGISTERED)
Apple Pay contact info
Any other notes
Submit
Should be Empty: