New Account request Form

We Look Forward To Serving You

Please Note: All 3 Steps Must Be Completed Before Service Will Be Turned On.

Review the Member Agreement.
Complete the New Account Request Form and Upload an Image of Your Valid Driver’s License or State Issued ID.
Review “Next Steps” and Submit Your Security Deposit.

Step 1

Review the Member Agreement:

Step 2

Complete the new account Request form:

(Your request will not be fulfilled without an uploaded image of your Drivers License or State Issued ID.)

Please enable JavaScript in your browser to complete this form.

Requested Service Start Date:

Name

First

Last

Phone #1

DL#: (Driver's License)

Drivers License

Click or drag a file to this area to upload.

Please upload an image of your valid Driver's License or State Issued ID. (Your request for service will be denied without a clear image of your ID. If you are unable to upload an image of your drivers license, please visit our office with your ID in hand during business hours.)

Spouse's Name

First

Last

Spouse's Phone (#2)

Business Name: (If Applicable)

Business Tax ID: (If Applicable)

Service Address

Address Line 1

Address Line 2

City

State

Zip Code

Mailing Address (if different from service address)

Address Line 1

Address Line 2

City

State

Zip Code

Paperless Bill?

Employer:

Spouse's Employer:

Do you own the property?

Signature

Clear Signature

By digitally signing my name here, I agree that I have read the first and final service charge information and the member agreement (above).

Step 3 (Next Steps)

Submit Your Security Deposit.

We require a security deposit to secure your new account. Your deposit stays on account throughout your service with us. In the event you move, or wish to cancel service, your last bill is paid with your deposit, and any remaining funds will be returned upon account closure.

Deposit Pricing:

Renters: $100.00 deposit
Home/Property Owners: $75 deposit

Our staff will send you an email as soon as we are able to process your new account.

If you do not receive an email from us within 2 business days with your security deposit link, please call our office or let us know via our contact form.

Thank you for your valued business!

Need Assistance?

If you need assistance, our team is happy to to help answer your questions or guide your next steps.