Rocky R.E.A. For all your Rural Power & Electrical Needs!

Applications to Connect a service in Rocky R.E.A. Ltd. and Horseguard R.E.A. Ltd. service area
Connection Form
	NAME (first and last):
	ADDRESS:	REQUESTED CONNECT DATE:
	LAND LOCATION:	Day	Month	Year
	Are you the OWNER?---- check box if you are	Are you the RENTER?-----check box if you are
		Landlord's Name ------ Landlord's phone #----
	Home Phone #:: Office Phone #:	E-MAIL ADDRESS : Fax #:
	COMMENTS:
	*Note: If New Owner, please be advised there is a $15.00 contract fee If Renter (Tenant) we require $200.00 deposit or reference of clean payment history from previous utility. If Required, after filling out the Connection Form, the Main Office will contact you to make arrangements for a Time & Date for a Site Meeting.