Membership Application Buying property? Fill out this application for membership to activate your electrical service. Do you own any other property on our service?(Required) Yes No Existing Member Address(Required) Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Will this be a joint account?(Required) Yes No Primary Account Holder Full Legal Name(Required)Legal Property Owner as shown on Pierce County Tax Records. First Middle Last Joint Account Holder Full Legal Name(Required) First Middle Last Service Address(Required) Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Primary Email(Required) Alternate Email Primary Phone Number(Required)Alternate Phone NumberMailing Address(Required) Same as Service Address Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Recording Number(Required)Closing Date (mm/dd/yyyy)(Required) Month Day Year Did you buy this property?(Required) Yes No Project Round-Up By enrolling in the Project Round Up Program your monthly bill will be rounded up to the next whole dollar amount. The difference between your bill and the whole dollar amount is then donated to Project Help. For example, if you’re utility bill is $45.52, the program rounds up that total to $46. The extra 48 cents is double matched and contributed to the LLP Project Help. Yes, I would Like to Participate Post a Clear Scanned Image or Picture of Drivers License(Required)Accepted file types: jpg, gif, png, pdf, Max. file size: 300 MB.Primary Account Holder Authorization(Required)All accounts for service with Lakeview Light & Power are lienable. Please contact your escrow company to ensure the seller’s final bill will be paid out of escrow. If the final bill is not paid you would be liable for any unpaid balances. I hereby verify the information provided to be true and complete. I understand that by typing my full name, checking this box, and pressing submit below, this application will be stamped with today's date and authorized by me as if I had signed my signature and had it notarized. I hereby verify the information to be true and complete and agree to the terms and conditions. I understand that by typing my full name and pressing the Submit button, this form submission will be stamped with today’s date and authorized by me as if I had signed my signature.I understand that upon submittal and approval of this membership application, I will be billed a one-time membership fee of $125 to my account.(Required) I agree I disagree Primary Account Holder Electronic Signature (Full Name)(Required) PhoneThis field is for validation purposes and should be left unchanged.