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Application For Service

  1. Any person (Over 18) listed on a lease or purchase agreement must supply the information below.

  2. Person 1

  3. Is There an Additional Person on The Lease?

  4. Is There a Third Person on The Lease?

  5. Is There a Fourth Person on The Lease?

  6. Service Address

  7. Is your mailing address different from you service address?

  8. Have you previously had service with the Coldwater Board of Public Utilities?*

    If you have not previously had service, CBPU will determine your deposit by using ONLINE INFORMATION SERVICES. You may or may not need to pay a deposit before services can be set. Deposits can range from $0.00 to $400.00 based on the response from ONLINE INFORMATION SERVICES.

  9. Which services do you wish to start at the service address?

  10. Do You Want More Than One Garbage Totes?

  11. Do You Want a Recycling Tote(s)?

  12. Internet Package

  13. Skitter TV Package

  14. Premium Skitter Channels Add-Ons

  15. Sports Package

    $7.00 with Select or Prime Package or $5.00 with Total Package. Includes NFL Network, NFL Redzone, Fox College Sports, Fantasy Sports, Fight Network, and Outside TV.

  16. Keep or Change Old Number

  17. Phone Package

  18. Please upload a copy of either your Mortgage or Lease Agreement. If you do not possess a copy, contact your landlord or bank. If you have a physical copy, you may upload a photo of the lease agreement or mortgage. Please make sure that all of the document is included and that the text is readable.

  19. Activation and installation fees may apply for new services.

  20. Telecom equipment must be returned upon cancellation of services. Your account will be billed for equipment that is not returned.

  21. If this form does not cover your request, please feel free to contact CBPU at 517-279-9531, Monday-Friday, 8:30 a.m. to 5:00 p.m.

  22. We may need to contact you at the phone number that you have provided regarding your request.

  23. Leave This Blank:

  24. This field is not part of the form submission.