FPUC Budget Billing Form

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Home > Budget Billing Program > Form

Complete this application to enroll in FPU's Budget Billing Program and take the guesswork out of your energy bills!

Please read the following agreement and check the box below.

* Please agree to the terms below

Notice of Agreement
I authorize FPU to enroll me in its Residential Budget Billing to stabilize my energy bill, and I understand that I may cancel this request by contacting FPU at any time.

Please provide your account information:

Account Number:		*
Last name:		*
First name:		*
Service Address:
Street Address:		*
City:		*
State:		*
Zip Code:		*
Home Phone:		*
Work Phone:
Email:
Service Area:		*

* Required Fields

*Once received, you will be enrolled in FPU's Budget Billing Program on the 1st of the following month.