New Commercial Service Inquiry

Service Information

Business Name: EIN/Tax ID#: Service Address: City: State: Zip Code: Business Phone #: Cell Phone #: Alternate Phone #: Point of Contact: Email:

Billing Information

Statement Type (Please select one): Paper Bill: E-mail:

Use Service Address

C/O First Name: Mailing Address: Apartment/Suite: City: State: Zip Code:

I certify, that to the best of my knowledge, the supplied information is true, accurate and complete.

Note: No work will commence until payment of the deposit, activation/administration fee and any additional fees are paid. Customers will be charged $13.00 per foot for the installation of a service line if it exceeds 100 feet in length. There is an activation/administrative fee of $50 per meter. Commercial customers will be advised of their deposit amount.

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