Please include details of the type of business.
Number of times per week requested.
Failure to choose one option could delay application process.
Check only one
The Applicant, whose signature appears below, applies to GEUS for some or all of the following services: Electric, Water, Sewer, Garbage, Cable TV, Internet and other services incident thereto, to be supplied at the address herein described, and upon request, at any other local address to which Applicant may move. The Applicant agrees to pay for said services as bills are rendered therefore, in accordance with the rates, rules and regulations as provided in the City Charter or by City Ordinances as now existing or as may be enacted and in effect at the time of delivery, regardless of who the consumer might be. The Applicant further agrees to release and discharge said GEUS or the City of Greenville from a liability for damages suffered (1) by reason of electric or water currently furnished to the premises, or (2) by reason of interruption, discontinuance or disconnection of service hereunder from any cause other than negligence by GEUS or the City of Greenville or (3) by reason of the condition, maintenance, location, or existence of any of the facilities, fixtures or systems located on or adjoining the property supplied and by which services are furnished and delivered. Service requests for disconnections will be processed within 2 business days.
My signature is an acknowledgement that this is a contract and that I personally agree to make payments and I am personally guaranteeing payment of all sums due and owing on behalf of applicant. Additionally, by submitting this form via electronically, I agree to conduct business electronically and an electronic signature is binding on me.
Obtained from the City of Greenville Development Office at 2315 Johnson Street. Contact by phone at 903-457-3160.
Letter written on company letterhead stating who has permission to make changes to the account.
At least one form of government-issued identification if sole proprietorship.
This field is not part of the form submission.
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