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601 Main St. P.O. Box 9 Tel: (812) 547-3411 Mon-Fri 8:00am-4:30pm
Tell City, IN 47586 Fax: (812) 547-9557 Closed Sat-Sun
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If you are moving into a new home, or away, please fill out this form. We will make sure you have electricity in your new home as soon as possible. If you are requesting a SERVICE CONNECTION, READ THIS FIRST. If you are requesting a SERVICE UPGRADE, READ THIS FIRST. For those of you who are moving away, by selecting SERVICE DISCONNECTION we will disconnect your electrical service by the date you provide. Remember, that it can take up to 48 hrs to process your request, so make sure the date you provide can reflect this time to process your request. Please provide the
following contact information: NOTE: Enter
the address of the residence to be serviced. |
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| First Name | ||
| Last Name | ||
| Title | ||
| Street Address | ||
| Address (cont.) | ||
| City | ||
| State/Province | ||
| Zip/Postal Code | ||
| Work Phone | ||
| Home Phone | ||
Choose one of the following options:
Enter the date of service change:
-- mm/dd/yy
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Copyright © 2004-2006 Tell
City Electric Dept
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