RMLD - Media; Ways-to-Save

Commercial Sign-up Form Click here for Information about RMLD's GREEN CHOICE option
Electric service is requested for:
Town:	Reading Lynnfield North Reading Wilmington
Meter/Service address:

Customer name:

Are you a previous customer of RMLD? Yes No
If yes, previous street address:
Previous town:

Service start date:
This is the date we will use to initiate your account.

Contact person for this account:
Day phone number*:
*This is the number we will use to call you today, if we have any questions.
Your e-mail address:

Billing address ( if different from service address ):
Street:
City:
State:
Zip:

Square footage:
Type of business:
We need this information to calculate your deposit. Please refer to Terms and Conditions for deposit requirement information.

Do you have less than five employees? Yes No
If yes, we will send you a tax exemption form for your electric service. Please indicate other tax exemptions in "Comments" sections below .

Where can we send your Customer Application for signature? This needs to be signed, dated, and returned.
	Service address Billing address:
Street:
City:
State:
Zip:

Comments: