Utilities Application - Commercial

Commercial Utilities Application –
New Service/Transfer Existing Service

We will contact you once we receive your application.

For customers wishing to utilize a bond from their insurance company in lieu of cash deposits, please contact our office at (229) 227-7001 for additional assistance.

Please note: City of Thomasville Utilities collects your social security number for the following purposes: clarification of accounts; customer identification and verification; customer billing and payment; creditworthiness; and other lawful purposes necessary in the conduct of business.

Company Owners

Proprietorship/Partnership

Corporation

I certify that everything that I have stated on this application is true to the best of my knowledge. I authorize you to check my credit, employment, or business ownership and to answer questions others may ask you about my credit record with you. I must update credit information at your request if my financial condition changes.


FOR OFFICE USE ONLY: