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City of Clemson Utilities: New Service Application



Requested Services   (select one or more)
  
Turn-On Date  
[Default]
(weekends and holidays excluded)
Previous Customer?  
Customer Status       

Deposit: $0.00
Admin Fee: $18.00
  ========
Total $18.00

  Pay Method  

Service Information    (* =  Required Field)
*Name 
*Street #     *Street Name, Apartment/Suite
Example: 123 Example: Main Street # 5
*City     *State     *Zip 

Billing Information   
*Name 
*Street #     *Street Name, Apartment/Suite
*City     *State     *Zip 

Permanent Address   (if different from Service Info)
* Landlord/Realtor   (if renting)
 Name     Phone

*SSN or TaxID  
 Birthday 
[Default]
*Phone #    (ex: 800-123-1234 or 888-555-1212 x5)
*Email 
*Driver's
 License 
   State
 Do not include dashes in Driver's License Number.
 Employer   Phone

Comments

 

SERVICE AGREEMENT
This agreement, when signed by the consumer and by an authorized representative of the City of Clemson, shall become a contract under which the City agrees to furnish utility service to the individual consumer and the consumer agrees to receive and pay for said service in accordance with the published Rate Schedules and Service Regulations of the City of Clemson now on file at the City Hall, and as the same may be modified from time to time, which Rates Schedules and Service Regulations are hereby made a part of the contract as effectually as if fully set forth herein.

       

CSI Online Services Provider, v2.7.0.112                       Monday, April 21, 2014 6:54 AM