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2. 
3. Utility Billing Department
   Commercial Service Application
5. Service Address*
7. Connection Date*
   Connection Date
   Service Connection only Monday-Friday. 24 HR notice is required. No service on holidays.
9. Business Name*
11. Customer Name*
13. ID Required*
    Upload a copy of your ID.
15. Driver's License #*
16. Date of Birth*
    Date of Birth
18. Social Security #*
19. Phone #*
21. Email Address*
23. Mailing Address(if different than Service Address)
25. City
26. State
27. Zip
29. Primary Use for Property*
31. Additional Requests
33. Billing Preference*
    -- Select One --Paper BillE-Bill
35. A customer may request that their account information be kept confidential.*
    -- Select One --Yes - Request for ConfidentialityNo - Do Not Request Confidentiality
37. Lease Agreement/Buyers Contract Upload
39. I AGREE TO THE FOLLOWING:*

    Please check all boxes below to comply.

    1. I understand that I must pay the Utility Billing Deposit based on meter(s) size by contacting Utility Billing at (325)646-9700.
    2. I understand that government issued PHOTO IDENTIFICATION is required for connection. A scanned copy or picture is fine.
    3. I understand I need to attach a copy of the rental lease agreement or buyers contract.
    4. I understand the City will not be responsible for damages to the property or inside the property due to any water leak or open lines upon or after the City restores service.
    5. I have already applied for a certificate of occupancy with our Development Services Department.
41. Service Agreement Contract
    Click here to view the Service Agreement Contract
43. Please remember to call our Utility Billing office at 325-646-9700 for payment of deposit for completion of application. Thank you!
45. Customer Signature:*
    By typing your name you agree that you have read and agree to the terms and conditions of the Service Agreement Contract in the link provided above.
Leave This Blank:


47. 1. Receive an email copy of this form.
48. Email address

    This field is not part of the form submission.

49. Submit Submit and Print

* indicates a required field