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New Service Request Form

  1. Same day, weekend or holiday service is not available. Any requests on these dates will be assigned to the next business day.

  2. Please Note: Padre Dam Customer Service will contact you within 24 hours to collect your social security number in order to determine if a deposit is required.

  3. Primary Contact Information

  4. Owner

  5. Tenant

  6. Secondary Contact Information

  7. Service Address

  8. Please enter the address where you would like to start service.

  9. Mailing Address

  10. If different than above. Used for billing and correspondence.

  11. Leave This Blank: