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Application for Residential Service

Property Information

Own (Deed must be in your name)

Service Information

Billing Information

Payment Information

(Customer Service Representative will contact you for payment)

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 $7.00 per foot for the installation of a service line if it exceeds 75 feet in length. There is an activation/administrative fee of $50 per meter. Residential customers will have a minimum deposit of $125 per meter.