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Customer Work Order Request

  1. Please be Advised:
    This is a request for a field technician to be sent to correct a problem. This form is sent to a Customer Service Clerk that may need to contact you PRIOR to determining if your request necessitates a visit. Please give as much information as possible to expedite your request. If this is an EMERGENCY, please call 252-636-6615.
  2. Electronic Signature Agreement
    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.
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  4. This field is not part of the form submission.