Action Center / Request for Automatic Turn-On / Mulvane, Kansas

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Note:

The City of Mulvane is not responsible when tenants move in or out of the below mentioned address and fail to notify the City for turn-ons or read-outs. The City of Mulvane is not responsible for automatic turn-ons when the customer is turned off for non-payment.

If your account becomes delinquent, you will no longer qualify for the automatic turn-on and deposits will be required before service can be turned on in the future. If this property is sold, it is YOUR responsibility to cancel this request. Failure to cancel this request may result in services being put in your name and a bill WILL BE DUE.

Please fill out the form below to request automatic turn-on or cancellation.

* Denotes a required field

Effective Date*

MonthDay Year,

Name*

Address*

City*

State*

ZIP*

Zip-Zip +4
Second portion of ZIP Code is optional.

Please Do Not Complete The Following Field

Account Number*

Electric Service*

Yes No

Water Service*

Yes No

Address*

City*

State*

ZIP*

Zip-Zip +4
Second portion of ZIP Code is optional.

Daytime Phone*

Phone Area Code-Phone 3-Phone 4 ext Extension

Home Phone*

Phone Area Code-Phone 3-Phone 4 ext Extension

I understand there will be a turn-on fee for each meter every time utilities are turned on in my name at this address. The turn-on fee will be billed at the current rate.

Signature*

I hereby cancel my request for Automatic turn-on for the above mentioned address.

Effective Date

MonthDay Year,

Signature

Please click submit when finished.

The City of Mulvane, Kansas

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Request for Automatic Turn-On

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