Customer Information

Please DO NOT use
this form for:

• service problems
• service outages
• immediate assistance
needs.

This may delay in getting you the quickest possible assistance. Instead, refer to the Emergency Technical Support numbers.

	* = required
First Name:	*
Last Name:	*
Email Address :	*
Service Area:	Choose an Area: Rock Hill, SC Fort Mill, SC Lancaster, SC Kershaw, SC Heath Springs, SC Winnsboro, SC York, SC Great Falls, SC Lake Wylie River Hills Tega Cay Other *
10-Digit Daytime Phone #:	*
Best time of day to call:	*
Are you an established Comporium customer?	Yes No *
If 'yes' to above, what is your Comporium account number? (if known)

Comporium Services

*Choose the service(s) you would like information or assistance on.
A customer service representative will be in contact with you shortly.

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Please use this area to let us know the kind of information you are requesting. Include any information you think will help us understand your needs.

    

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