• Application for Utility Service - Commercial

  • Today's Date*
     - - :
  • Responsible for account as of date*
     - -
  • Are you purchasing or leasing....*
  • Is this business sales tax exempt? If yes, please provide completed ST3 form*
  • Have you had service from us in the past 12 months*

  • Billing Information

  • Service will remain in your name for the service address listed above until we receive a completed "Termination of Utility Service" form.

  • Should be Empty: