Utility Suite Metering Customer Agreement (Move-In) FormUtility Customer Agreement • December 7th, 2016
Date of Closing/Lease Start*: Month/Day/Year Primary Account Holder(s)*: Mr Mrs Miss Ms (Please Select) First Name*: Middle Initial: Last Name*:Mr Mrs Miss Ms (Please Select) First Name: Middle Initial: Last Name: Service Address (the Unit)*: (Street No. & Name) Unit No*. City*: Province*: Postal Code*: Primary Phone*: Secondary Phone: Email*: Ebilling: Check if you would like to receiveyour bill by email. Mailing Address (if different from above)*: (Street No. & Name, Unit No.) City*: Province*: Postal Code*: IDENTIFICATION - Please provide your Driver’s License No. OR Social Insurance No. OR Canadian Passport No.*: Date of Birth*: Month/Day/Year Secondary Contact (if applicable): Mr Mrs Miss Ms (Please Select) First Name: Last Name: Please Complete If You Are the OWNER of the Unit*: Lawyer Name: Lawyer Phone No: Please Complete If You Are RENTING The Unit (you do NOT own the unit, but are leasing it)*: Owner/Landlord Name: Owner/Landlord Phone No: Owner* Signature* Date* Month
