Residential Transfer Service Request
Please complete this form only to
transfer
your service to a new residence.
If you are not currently a GreyStone member and wish to sign up for new service
click here
.
If you wish to disconnect your GreyStone service AND are not transfering service to a new residence please
click here
.
Please allow 1-2 business days to process orders.
Please tell us about yourself:
*
First Name:
*
Last Name:
Middle Initial:
*
Date of Birth:
*
Social Security Number:
GreyStone Account No:
Driver's License Number:
Spouse's Name:
Spouse's SSN:
Where do you currently live?
*
Current Address:
Apt Number:
*
City:
*
State:
*
Zip:
When should service end at the current residence?
*
Disconnect Date:
(MM/DD/YY)
Where is your new Electric Service?
*
New Address:
Apt Number:
*
City:
*
State:
*
Zip:
Do you own or rent the new residence?
*
Own/Rent:
Own
Rent
When should the new service start?
*
Service Start Date:
(MM/DD/YY)
Allow 10-14 working days for new construction.
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:
New Construction Only:
Lot:
Block:
GreyStone does not connect or disconnect service on Saturdays, Sundays or business holidays.
NOTE: Fields marked
*
are required.
Incomplete applications will not be processed.
The information provided will be used for the purpose of a credit check.
4040 Bankhead Highway
770-942-6576
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©2010 GreyStone Power, a Touchstone Energy Cooperative
