Residential New Service Request
Please complete this form to apply for NEW service only.
If you are currently a GreyStone member and wish to transfer service to a new residence click here.
If you wish to disconnect your GreyStone service AND are not transfering service to a new residence please click here.
Please allow 3 business days processing time for all orders.
Please tell us about yourself:
*First Name:
*Last Name:
Middle Initial:
*Date of Birth:
*Social Security Number:
Driver's License Number:
Spouse's Name:
Spouse's SSN:
Where do you currently live?
*Current Address:
Apt Number:
*Current City:
*Current State:
*Current Zip:
Where is your new Electric Service?
*New Address:
Apt/Lot/Unit Number:
*New City:
*New State:
*New Zip:
Do you own or rent the new residence?
*Own/Rent: Own  Rent  
Where should we mail your bill
(if different than the New Address)?
Mailing Address:
Apt Number:
City:
State:
Zip:
Contact Information:
*Home Phone Number:
Mobile Phone Number:
Work Phone Number:
Fax Phone Number:
*Request Submitted By:    (Full Name)
*Submitter's Email:
*Daytime Phone Number
M-F from 8 AM to 5 PM:
Best time to call:
When should service start?
*Service Start Date:    (MM/DD/YY)
Allow 10-14 working days for new construction.
New Construction Only:
Lot:
Block:
NOTE: Fields marked * are required. Incomplete applications will not be processed.
The information provided will be used for the purpose of a credit check.

Completion of this form will not establish service if additional information is needed. A review will be conducted and any arrangements needed to collect the necessary deposit must be satisfied before this application for service can be completed and service connected. A valid contact name, e-mail address and phone number are required.



4040 Bankhead Highway 770-942-6576
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