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Customer Service Application

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Complete, print and sign the application form below for City of Lindsborg utility services.

Personal Information

Address Information:

Additional Adult Members of Household:

I affirm this information is true and correct. I further state that I am not, nor is any person residing here, in arrears to the
City of Lindsborg for any previous utility bills.
Service will be disconnected if it is found that anyone in the household has a prior unpaid utility account with the City of Lindsborg.
In order to have service reconnected all past due accounts must be paid in full.

Please drop off or mail completed and signed application form for processing to
City Hall, 101 S Main, P.O. Box 70, Lindsborg, KS 67456-0070.
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Lindsborg...where you want to Be, to Play, to Live, to Stay
101 S. Main St.    P.O. Box 70    Lindsborg, Ks 67456-0070    Ph: (785) 227-3355    Fx: (785) 227-4128
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