Connect Service

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Connecting Service

 

Moving in? 

Please fill out this form about the

last resident and yourself as completely as possible.

 

If you have questions regarding this change

please contact Kathy Millick , or call 922-5443, extension 25.

 

Note: This form is intended to begin the process

of starting service and is in no way a contract or

binding agreement. 

 

 

Previous Resident

 

The last resident was a:

Owner      Renter

 

Last Resident Name:   

 

Last Resident Phone Number:

 

 

 

 

Next Resident

 

I will be a:

New Owner  New Renter

 

My Name:

 

My Phone Number:

 

My Address:

 

 

Please include contact info in case we need to reach you regarding this change

 

 

Additional Comments: