Parkersburg Iowa - growing with pride!

UTILITY SIGNUP

REQUESTERS NAME:
	First Name	Middle Initial	Last Name
ADDRESS:
	Street Address	PO Box or Apt
PHONE/EMAIL:
	Phone enter as ddd-ddd-dddd	Email
EFFECTIVE DATE/ METER READING:
	Effective Date	Meter Reading

If you would like a remote meter, check this box. Remotes allow meter readers to take readings outside of your home. Initial one time cost is $15.00.

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UTILITY SIGNUP