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Utility E-Statement Enrollment Form

BELOIT UTILITIES IS GOING GREEN

The City of Beloit/Beloit Utilities is proud to offer Paperless e-Statements to our utility customers. Sign up for e-Statements and we all receive the benefits - it’s a win-win!

  • Environmentally friendly (saves trees)
  • Save on rising postage costs
  • Postage savings help keep your rate low
  • Eliminate the delay of mailing time for paper bills

The e-Statement will be produced and sent to you via your email the same time of the month as you would normally receive your paper bill.

Utility e-Statement enrollment form:

BELOIT UTILITIES IS GOING GREEN

The City of Beloit/Beloit Utilities is proud to offer Paperless e-Statements to our utility customers. Sign up for e-Statements and we all receive the benefits - it’s a win-win!

  • Environmentally friendly (saves trees)
  • Save on rising postage costs
  • Postage savings help keep your rate low
  • Eliminate the delay of mailing time for paper bills

The e-Statement will be produced and sent to you via your email the same time of the month as you would normally receive your paper bill.

Utility e-Statement enrollment form:

* Your Name: Last, Middle Initial, First:
* Customer's Mailing Address:
City/State/Zip:
ex: 55104
Address for Outside Of United States:
* Account Number - show every account number you wish to have set up for e-Statement. (One Account Per Line):
* Your e-mail address:
* Daytime Phone Number- Example: 123-456-7890:

* - denotes required field