ENROLL IN PAPERLESS BILLING

By submitting this form, I acknowledge that once this request is processed, I will begin receiving all billing communication via email only. I will no longer receive printed billing information by mail. Also, I understand account statements and invoices can be accessed 24/7 through my Cook’s Customer Portal account.

Your Name(Required)

First Last

Contact Phone Number(Required)

We'll use this to contact you if we cannot locate your account with the information you provide.

Cook's Account Information

Do you know your Cook's account number?(Required)

Your Cook's account number can be found on a statement, invoice, or completed work order. If you don't have your account number, we'll need the property or billing address to locate your account.

Cook's Account Number(Required)

Property or Billing Address on Your Account(Required)

Street Address Address Line 2 City State ZIP Code

Paperless Enrollment Acknowledgement

Confirm Billing Email Address(Required)

This is the email address where all billing communication will be sent.

Additional Billing Options

I would like information about and/or help setting up:

Automated Payments (Credit, Debit, or ACH)

My Cook's Customer Portal Account

Please select any services you would like to take advantage of, and a Cook's employee will reach out to help!