Outdoor Lighting

*Indicates required field

Date Service is Needed: / /

Name on Account:

*First Name:
  *Last Name:
*E-mail Address:
*8-Digit Meter Number:
Home Phone: ( ) -
Cell Phone: ( ) -
Work Phone: ( ) -
Billing Address:
City:
State:   Zip Code: -   Street Address:
City:
State:
Zip Code: -
Former Blue Ridge Member? Yes No
If Yes, When?
Would you like to request an outdoor security light? Yes No
Is there an existing pole that the light can be mounted on? Yes No
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!

 What type of light do you want? (click here for options)

175 Watt Mercury Vapor (blue colored) Basic $12.50/month  30' mounted height


250 Watt HPS (amber colored) Cobrahead $17.50/month  25' mounted height


400 Watt HPS (amber colored) Cobrahead $21.75/month  35' mounted height


Specialty/Decorative Light (A representative will contact you)


Please indicate where you want the light placed and which way you want the light to face:



*Forwarding Address:
*City:
*State:
*Zip Code: -
Is there a working outdoor security light to disconnect? Yes No
If yes, please give the serial number for the outdoor security light: (S/N is found on a silver tag on the pole and begins with 100, 200, 300, or 400)
Comments:


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