Be advised service will begin within 2 BUSINESS DAYS once we complete the application process.
As part of our data security and privacy this form will not ask for any critical personal information such as your social security number or driver's license number. We will call you for this information along with requests for any further documentation/deposit needed to open your account.
If you wish to have someone authorized to make inquiries and/or payments on your account, designate them below:
Note: City policy REQUIRES all renter/tenant(s) to provide a copy of the lease agreement for service.
Acknowledgment: I, the undersigned certify that the information in the foregoing application is accurate and true to the best of my knowledge and belief. I have received a copy of the “Terms of Application”. I acknowledge my responsibility for any and all charges, fees and the like associated with the account, including returned check charges, and agree to notify the Customer Service Center of any changes regarding the account within ten (10) days of the change. I agree that no interest will be paid to me for any deposits, tap on fees or other charges I might pay. If I have supplied you with a wireless telephone number or land line number I am giving you prior consent to call that number. I am aware that such calls may result in charges to my wireless phone account.