By signing below, I ask that an account be opened for me. I understand that you may verify and exchange usage and cost information on me. Personal information will be protected and only released upon written request from applicant. I will be bound by the Agreement received. If this is a personal account, I agree, or if this is a corporate account, both I and the company agree to be liable for all charges.

Your Deposit will be refunded in one year if account is paid by due date. The Deposit will not be applied or refunded before one year unless the account is closed.

It is also understood that when the service is turned off for nonpayment of bill, or whenever for any reason beyond control of Carrollton Utilities a re-establishment of service is required by any one customer, a service charge must be paid to Carrollton Utilities to cover a part of the cost of discontinuance and re-establishment of service (see rules and regulations). Customers with only sanitary sewer service can be charged additional fees for reconnection due to non-payment based on agreements with the water district supplying water service.

I have read the "rules and regulations" for customer service and agree to abide by them.