Create an Account - Increase your productivity, customize your experience, and engage in information you care about.
Please complete the following information:
Please call to activate your service after submission of these forms, Monday through Friday 8am to 5pm at (979)345-3123.
You make pay with debit/credit card by phone, in person, or place in city's night drop. (Located West of parking spaces.)
Date of Birth
Name of Employer
Address Number & Street or P.O. Box
City, ST & Zip Code
City, ST & Zip
I acknowledge and agree that interest at the rate of 1.5% per month will be charged on all balances remaining unpaid after the account has been finaled in the event of default and referral to an attorney or collection agency. I agree to pay all costs of collection including reasonable attorney's fees. I understand that the above information is given for the purpose of obtaining service and certify that, to the best of my knowledge, the above information is complete and accurate as of the data of this application.
Digital or typed signature
Your account is automatically charged $3 unless you indicate otherwise.
Your account is automatically charged $2 unless you indicate otherwise.
This field is not part of the form submission.
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