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2. PLEASE READ CAREFULLY

   Please complete the following residential application to start City utility services. A $150.00 security deposit is required to complete account setup. Online payment is collected through a secure Wells Fargo payment site. You will be redirected once this form is submitted. Please enter the full service address in the "Reference" field.

6. Business Name*
7. Business Phone*
9. Description of Business, Nature of Operations or Activities*
11. Property Owner
12. Business Owner
14. Contact Person
15. Primary Phone
17. Service Address*

    Use service address as reference when paying deposit

19. Mailing Address (If different than service address)
21. City
22. State
23. Zip
25. Rent or Own?*

    1. Rent
    2. Own
26. Closing Date
    Closing Date
27. Rental Date
    Rental Date
29. Paperless Billing?

    1. Yes
    2. No
31. Email Address*
33. Text Notifications

    Only used for late notices and special utility reminders

    1. Yes
    2. No
35. Preferred Phone Number for Text
37. Signature*
    By typing your name into the field available you are hereby authorizing Spearfish, South Dakota to accept this as your electronic signature.
38. Date*
    Date
40. Fair & Accurate Credit Transactions Act
    To abide by the Fair and Accurate Credit Transactions Act, the City of Spearfish will only allow the applicant(s) listed to make changes and make billing inquiries on this account.
Leave This Blank:


42. 1. Receive an email copy of this form.
43. Email address

    This field is not part of the form submission.

44. Submit

* indicates a required field