Broadway, NC · Lee County
New Customer Application
New customers use this application to request water, sewer, and/or garbage service from the Town of Broadway.
What this form is
Use this application to request water, sewer, and/or garbage service from the Town of Broadway. It asks for the customer’s name, service start date, service and billing addresses, contact details, driver license, employer, Social Security number, and meter reading. The applicant signs and dates the form to apply for service and agree to follow the rules and regulations governing it.
Who needs it
A customer applying for water, sewer, and/or garbage service from the Town of Broadway needs to complete this application.
How to submit it
Email the completed application to [email protected]. The form also lists the Town of Broadway, P.O. Box 130, Broadway, NC 27505.
About notarization
This application is signed and dated without a notary; no notarized or sworn attachment or related step is identified.
How to submit this form
- 1
Download The Application
Download the New Customer Application PDF.
- 2
Complete The Form
Select the service requested and provide the customer, address, contact, and other requested information.
- 3
Sign And Date
Sign and date the application. No attachments are listed on the form.
- 4
Email The Application
Email the completed application to [email protected].
Frequently asked questions
- What services can I request with the New Customer Application?
- The form has checkboxes for water, sewer, and garbage service. It also asks for customer and service information and an applicant signature and date.
- Do I need a notary for the New Customer Application?
- No. The application is signed and dated without a notary, and it does not identify a notarized or sworn attachment or related step.
- How do I submit the New Customer Application?
- Email the completed application to [email protected]. The form also lists the Town of Broadway’s mailing address: P.O. Box 130, Broadway, NC 27505.