Pledge Form

 Step 1 of 1

DO NOT USE THIS FORM FOR EMERGENCY REQUEST

Please fill this form out for Customer Service to place a pledge on the customer account. Once form is filled out & submitted a representative will respond to confirm a pledge has been placed on the customer account. All pledges placed on accounts will provide a two week freeze on the customer account to prevent shut offs & penalty fees from accumulating until utility receive funds from Salvation Army.

* Denotes a required field
Please fill out this form for EWSU Customer Service to place a pledge on the customer account.
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ZIP*
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Second portion of ZIP Code is optional.
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$
Please add any additional comments on behalf of the customer that you want EWSU Customer Service to know or add to the account.
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