Existing Home Service Application

Primary Applicant
Have you had an account with us in the past?
Co-Applicant
In order to be listed on the bill, a social security number is required.
Have you had an account with us in the past?
Where are you moving to?
Do you rent or own? *
If the electric service is currently disconnected, you authorize us to reconnect the services on the date of Lease Start/Closing Date entered above.
If the electric service is currently disconnected, you authorize us to reconnect the services on the date of Lease Start/Closing Date entered above.
Is there a fence?
How many dogs are at the home?
Will the dog(s) be outside most of the time?
I want my bills sent to the above address
By submitting this form, I have read and agree to the General Rules and Conditions of Service, and I understand there will be a $15.00 service processing charge for all new applicants. I understand that a soft credit check will be run on my social security number to validate my identity and establish whether my account will be assessed a deposit. If a deposit is required, the customer will receive a letter in the mail and the deposit will appear on your first bill. You will be notified prior to processing your application if a deposit is required.
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