Summary Billing Form (Minnesota)

Yes! I'd like to take advantage of Summary Billing for my business.
After we receive your completed form we will call or send you an e-mail within a couple of days to set up your Summary Billing account.

Items in red are required.*

Contact Person for Account Last Name*	First Name*	MI
Company Name*
Billing Address*

City*	State*	Zip Code*
Business Phone* - -
E-mail Address
I'd also like to learn more about how I can enroll my new Summary Billing account in Online Billing.
Account numbers to include in my Summary Billing Account:

1.	Account Number:	Street Address:
2.	Account Number:	Street Address:
3.	Account Number:	Street Address:
4.	Account Number:	Street Address:
5.	Account Number:	Street Address:
6.	Account Number:	Street Address:
7.	Account Number:	Street Address:
8.	Account Number:	Street Address: