On Line Form
We are pleased to have new customers. To ensure that new customers only pay for services that they have used, we require that a meter reading be taken on the day a new customer takes responsibity for an account. Usually, this is the date of closing on a property sale or first date of a lease for rental properties. New customers can communicate the meter reading through this on-line form or contact our Utility Billing Clerk at 763-552-3212. Monthly billing will begin after you complete this form. You will also receive a new customer orientation package with your first bill.
| * Customer #1 First Name: | |
| * Customer #1 Middle Initial: | |
| * Customer #1 Last Name: | |
| Customer #2 First Name: | |
| Customer # 2 Middle Initial: | |
| Customer #2 Last Name: | |
| * Street Address of Utility Service: | |
| * City: | |
| * State: | |
| * Zip Code: | |
| * Contact Phone Number: | |
| Alternate Phone Number: | |
| E-mail address: | |
|
Billing Address (if different from service address): |
|
| Billing City: | |
| Billing State: | |
| Billing Zip Code: | |
| * Date of Utility Start: | |
| Meter Reading at Time of Transfer: | |
| Comments: |
