Outdoor Lighting Service/Installation Request

First Name
Last Name

*If you designate a primary telephone number for notifications on your account, you are hereby expressly agreeing that the Cooperative may deliver pre-recorded, artificial voice, and/or auto-dialed messages to this primary telephone number, whether the telephone number is for a landline, wireless, cellular telephone or texts.

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City
State
Zip


Lighting (You can skip this section if you already have a light):

If no, put a stake where you would like the crew to place the pole, being aware of drain lines, telephone/electric lines, your septic tank or any other underground facility!

Found on a silver tag on the pole and begins with 100, 200, 300, or 400.

 

 

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Zip