NEW SERVICE DATE
NEW SERVICE LOCATION ADDRESS
Only provide mailing address if different from service address.
DEPOSIT & APPLICATION FEE PAYMENT INFORMATION
Once you submit this application, bring the deposit ($250) and application fee ($26.50) in the form of cash, check, or money order to our location.
Please upload the required items for your district.
Proof of Ownership of Lease (Please only include the 1st page of closing disclosure or 1st page of lease.)
Copy of Your Valid I.D.
Please scroll through the text below, read the agreement, and acknowledge you have read the service agreement.
Please complete the authorization information below to process your new service application.
Please review the form carefully, making sure that you have read and agreed to the Service Agreement, as well as completed all the required areas above. Then click Submit below. Upon correct submission, you will receive a confirmation on this screen.
Click and hold your mouse in the empty space below to sign. Press "Clear" to re-do your signature.