Round Up
Enrollment Form

Please sign me up for: Round Up       Round Up Plus: $

Utility Account Number:   --
City, State Zip:
  ()- -

Signature: _______________________________________________

Please be sure to complete this form entirely, print it, sign it and mail to:

Lawrenceburg Utility Systems
ATTN: Round Up
PO Box 649
Lawrenceburg, TN 38464

LUS Logo   Lawrenceburg Utility Systems is proud to partner with our community!