Ninnescah Rural Electric Cooperative, Inc

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Saturday, September 04, 2010

YOUR INFORMATION

First Name *		Last Name *
Title
Business
Address
City *		State *
Phone		ZIP
E-Mail Address *
Web Site Address

REQUESTED INFORMATION

New Electric Service
Transfer Electric Service
Disconnect Electric Service
Security Light (Yard Light) Install
Security Light (Yard Light) Repair
Auto-Bill-Pay via Electronic Funds Transfer
Electric Heat Pump Information
Wiring Inspection
Energy Audit

COMMENTS / SPECIAL INSTRUCTIONS

CHECK & SUBMIT

Fields marked with an asterisk (*) are required.

You must enter the following numerical code in the box below:

Enter the numbers you see in the text area below.

(620) 672-5538 (Phone) - (620) 672-6852 (Fax)
P.O. Box 967
20112 W. Hwy. 54 - Pratt, KS - 67124-0967

© Content and Logo are Copyright 2002-2010 by Ninnescah Rural Electric Cooperative, Inc. Site engine and graphics are Copyright 2002-2009 by Ryan Beisner. All Rights Reserved. Used by permission from VTYI.