Murray City, Utah There's More to Murray

Utility Service Agreement
 * Indicates required fields.
Please select the srevices you are signing up for. Power:  Water:  Sewer:  Garbage:  Storm Water: 
Please select your relationship to the property. Landlord:  Owner:  Renter: 
What date do you want service to begin?
Customer Name: *
Date of Birth: *  
Service Address: *
Home/Primary Phone#: *    - 
Cell Phone#:    - 
Email Address:
Mailing Address (If Different):
Mailing City:
Mailing State:
Mailing Zip:
Drivers License #: *
Social Security #: *
Employer: *
Employers Phone #: *    - 
Name of relative not living with you: *
Relationship: *
Address: *
City: *
State: *
Zip: *
Phone: *    - 
Spouse or Roommate Name:
Date of Birth:  
Drivers License #:
Social Security #:
Phone:    - 
Property Owner (if applicable):
Phone:    - 


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Murray City Hall  •  5025 South State Street  •  Murray, UT 84107