All required fields are indicated with an (*).
Form must be completed by the owner, on behalf of tenants.
We will not change the account into a new tenants name if there is a balance.
By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.
I, the legal owner of the above mentioned property, do hereby accept these terms and conditions and agree to notify the Town of Telluride Utility Department in writing of any changes.
This field is not part of the form submission.
* indicates a required field