Complete the application below to apply for new residential service or a service change. Accurately completing this form allows us to process your request in a timely manner; incomplete applications may result in delays. For questions on how to fill out the form, please contact us at firstname.lastname@example.org, or call 763.323.4214.
To print a copy of the application and submit via fax or email, please download here.
All fields with an asterisk (*) are required.