Residential Surge Guard

form steps

Customer Information

Name    
Email Address   
Daytime Phone () -
Evening Phone () -

Service Address

Address     Apt/Unit  
City   State   Zip

Installation Information

Do you have cable television?
  a. If yes, who is your service provider?

Do you have a satellite dish?
  a. If yes, how many receivers do you have inside your home?

Do you have a home telephone?
  a. If yes, who is your service provider?
  b. If yes, how many telephone numbers (lines) do you have?

Is your power meter located on your house?
Do you have an outbuilding or detached garage?
Do you have a personal well?
How did you hear about OPPD's Whole House Surge Guard Protection?
 
If you have a promotional code, please enter

Terms and Conditions.