PALMETTO UTILITIES, INC. 1710 WOODCREEK FARMS ROAD ELGIN, SC 29045 (803)699-2422 (803)699-2423 fax
RESIDENTIAL SEWER CUSTOMER FORM ACCT#______________ Dear Customer, (office use only) Please complete this form and return with the processing fee (if applicable).Upon receipt of this form we will initiate service in your name. Please call if you have any questions. Thank You! Brenda Whitehead-Account Manager
DATE_____________________________________________________ NAME_____________________________________________________ ADDRESS_______________________________CITY______________ SUBDIVISION______________________________________________ TELEPHONE #_______________________________________________
Please choose one of the following and provide the information requested:
______NEW HOME; BUILDER: ________________________________ DATE OF CLOSING: ________________________________ LOT NUMBER: ________________________________ ______RESALE; DATE OF CLOSING: ___________________________ ______RENTING; LEASE DATE________________________________ LANDLORD NAME___________________________ ADDRESS ___________________________ PHONE # __________________________
The sewer user fee for a single resident is $29.50 per month. For commercial customers, the billing rate will be based on the equivalent number of taps. Our billing cycle ends on the last day of each month. The payments are due by 3:00 p.m. on the last business day of the following month. A service charge of 1.5% will be applied to all unpaid balances. All accounts $60 or more past due will receive a certified letter and be charged a $25.00 certified letter fee. (office use only) (office use only) DATE___________ PD_____________
A processing fee of $20.00 is required by all new customers to transfer or set up accounts. ____CHECK ____CASH _____Visa/MasterCard/American Express/Discover *** (Please call the office to pay with credit or debit cards) Signature of Customer _____________________________________________