Please provide the following information to enroll your Carroll Electric account.
*Name on Account
*Account Number
*Daytime Phone
*Current Billing Address
*Select: checking or savings account
Please do not include check number.
*Re-enter Bank Account Number
*Name on the Bank Account
*Name of Bank
Shown on check as |: 123456789 |:
*City/State of Bank
If you have questions completing this form, please call Customer Service at 800-432-9720.
