Information for Commercial Service Form
Account Name:
Billing Address:
Service Address:
Lighting
Voltage
Amperage
Number of Phases Required
Power
Voltage
Amperage
Number of Phases Required
Nature of Business
Full Time
Seasonal
Temporary
State approximate length of operation
If any additional load is anticipated at this location, state amount of load projected and approximate date the additional load is anticipated:
Electrical Contractor
Name of Company
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