Application for Levelized Billing Plan
Thank you for being a member of GreyStone Power. As a convenience to our members we offer levelized billing for non-prepaid qualifying member accounts. To apply for this service, please fill out and submit this form. If you have any questions, call us at (770) 942-6576 or email us at
*Name on Account:
*GreyStone Account:
*Service Address:
Home Phone Number:
Work Phone Number:
*E-Mail Address:
What is your preferred method of contact if necessary?
*Preferred contact method:
What type of billing do you have?
*Billing Type:
Does this account currently have a zero balance?
Account has a zero balance?:
Accounts with Prepay billing are not eligible for Levelized billing.
Please acknowledge the guidelines for joining this plan:
I am aware my account must not be prepaid to qualify for this plan.
I have been a GreyStone member for more than 12 months and have had no more than two late payments.
To remain on the plan, I know I must pay the full billing amount each month by the due date.
I know once I've been taken off the plan I must wait a year before applying to be in the plan again.
I understand that by submitting this form I am applying for my account to be placed on a levelized billing plan. Acceptance into the plan is based on meeting the criteria listed above.

Uploading ...
kb   of   kb %