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Please complete this form and forward to the district at least two business days prior
to the date you would like service to begin. Until the electronic link is connected,
we will accept this form by mail, fax, e-mail or in person. Please provide a day-time
phone number where you can be reached to confirm receipt of your application for new
service.
A $20.00 charge for service initiation will appear on your first bill.
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