Dusk to Dawn Lighting Application
Please answer each question
Name:
 Account or Meter Number:
Street Address at location


City at location


State at location


Zip Code at location

Property Ownership:
    Yes, I am the property owner.
    No, I am not the property owner.
Pole Information:
    I need a pole.
    I already have a pole.
If a pole is there, please place a ribbon around it.

If a new pole is needed, please put a stake in the
ground to indicate the desired location.
Phone Number (at location):


Email Address:


Contact Phone Number:
Directions to Property/Message/Notes:
By Clicking the button below you are requesting that Coosa Valley Electric begins the process to place Dusk-to-Dawn lighting at the address specified above.