Application for Billing

Welcome to Menasha! We're happy to be your new utility provider. Please submit the form below to establish service at your new home or business. We are available for connects and disconnects Monday through Friday. We do require at least one business day's notice to schedule your new service.

Customer Information

Primary Customer Contact

Secondary Customer Contact

New Service Address

Mailing Address

(if different from Service Address)

Previous Address

At least one business day of advanced notice is needed to schedule a final meter reading.

Landlord Information