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New Customer Information Form
Name(s)
Address
Phone Number
Second Phone Number in case of emergency
Email
Additional Email if desired
Population - How many people reside at this location?
Closing Date
Occupancy:
Owner Occupied
Rental
2nd Home
Other: please specify in notes
I prefer my billing statement sent by:
Email
Regular Mail
Both
Note:
Submit
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Customer Move Out Information
Name
Account Number
Address
Forwarding Address
Email
Phone number
Move out date
I have checked with the office to get my account balance and/or a final meter reading. Office number 1 (801) 876 - 2510. Please leave a message if no answer.
My account balance is:
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