CUSTOMER SITE SETUP

FOR MULTIPLE HOUSING AND CONTRACTORS

PLEASE COMPLETE THE BELOW INFORMATION

CUSTOMER SITE SETUP

****PLEASE ATTACH A SAMPLE COI

(CERTIFICATE OF INSURANCE) / THIS IS REQUIRED SO WE CAN ORDER THE APPROPRIATE DOCUMENTATION***

BILLING PREFERENCE (PLEASE NOTATE)

PAYMENT REMITTANCE ADDRESS IS:

308 N. Main Street

Jonesboro, GA 30236

MANAGEMENT COMPANY INFORMATION: