Business Service Request

Do you currently have or have ever had CDE Lightband service?(Required)

Yes

No

Account Number

Electric Services To Connect(Required)

New Electric Service

Construction Temp.

Property Management

Broadband Services To Connect(Required)

Internet

Hosted Voice

Video

Voice

Wireless

None

Additional Information

Business Electric Application

Non Profit?(Required)

Yes

No

Upload Tax Exempt Form

Max. file size: 100 MB.

Service Address(Required)

Street Address Address Line 2 City State ZIP Code

Mailing Address(Required)

Street Address Address Line 2 City State ZIP Code

Tax ID(Required)

Business Name(Required)

Contact Name(Required)

First Last

Phone Number 1(Required)

Phone Number 2

Email(Required)

Additional Contact

First Last

Additional Phone

Addtional Email

Best Time to Contact

Morning

Afternoon

Preferred Method of Contact

Phone

Email

Construction Temp Request

Inspection Number

Contact Name

If the person to be contacted by CDE is not the same as above, please enter below:

First Last

Contact Phone Number

Contact Phone Number 2

Email

Service Address(Required)

Street Address Apartment / Suite Number City State ZIP Code

Lot Number

Subdivision

Is this a corner lot?

Yes

No

Closest Intersecting Road

Services Requested

Permanent

Temporary

Note: CDE may not offer all services listed above in your area. For utility availability, please call (931) 648-8151.

Reporting of Anticipated Electric Load

Square Footage of Conditioned Space(Required)

Business Type(Required)

Heating and Air Conditioning Information(Required)

If gas heat select Electric Air Conditioning.

Electric Air Conditioning

Electric Heat Pump

Electric Resistive Heat

Electric Water Heat

Operating Hours Per Week(Required)

Example: 40 hours per week of operating hours

Type Signature Name(Required)

Signature(Required)

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Comments

This field is for validation purposes and should be left unchanged.

Business Electric Application

Construction Temp Request

Reporting of Anticipated Electric Load

Don't settle for anything
less than the best

INTERNET

VIDEO

VOICE