ELECTRONIC (PAPERLESS) BILLING SIGNUP FORM
 

Customers who have access to the internet and have an e-mail address may sign up to receive their monthly bill electronically. We provide a secure environment for viewing and paying your bill available online at no cost, 7-days a week, 24-hours a day (except for scheduled maintenance times). When you go paperless, we provide a user-friendly online bill display format and e-mail notification when your bill is ready. You will no longer receive a monthly paper bill. Complete this form and click the button at the bottom to sign-up for Electronic Billing Member's Name: E-mail Address: Pennyrile Account Numbers:   Electronic Signature: (Please Type Your Full Name) Date Signed: 1/6/2009 6:06:33 PM  IP Address: 38.103.63.60  Note: Electronic Signature (Verified by Date and IP Address) signifies member agrees with all provisions of the Electronic Billing Program.