Elmhurst Mutual Power & Light > Member Services > Move In Form

Move In Form

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

This form must be filled out by an Account Holder, Owner, or designated Management Company

Landlord will remain liable for all unpaid charges to the service address.

Please call (253) 531-4646 with any questions.

All new accounts will be charged a one-time $25 New Account Fee.

All new owners will be charged a one-time $20 Transfer Membership Fee.

All new owners will be emailed a Membership Application that will need an e-signature in order to establish service.

Are you renting or did you purchase the property?(Required)

Renting

Purchased

Is the sale finalized?(Required)

All sales must be final before establishing service as a new owner.

Yes, it is finalized

No, it is not yet finalized

Sale must be finalized before services can be started. Please wait to complete form until sale has finalized.

Account Name(Required)

First Last

Additional Name

First Last

Phone(Required)

Email(Required)

Additional Phone (Optional)

Service Address(Required)

Street Address City State ZIP Code

Paperless billing?(Required)

Yes

Mailing Address(Required)

Same as Service Address

Street Address City State ZIP Code

Move In Date(Required)

Move in date may not be more than 14 days in advance.

Comments

Electronic Signature (Full Name)(Required)

You should get a confirmation email within 48 business hours. If you don’t get an email, we did not get your form. Please verify your email is correct.

Move In Form

Office Address

Phone Numbers

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