Transcription of CONFIRMATION FORM (TENANT) - PowerStream
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CONFIRMATION FORM (TENANT) - PowerStream
Where do I send completed forms? Email: Fax: 905-952-5290 Mail : Box 95600 RPO Newmarket CTR, Newmarket, ON L3Y 8J8 tenant INFORMATION Service(s) Enrolled: Electric Water Gas HVAC Unit Type: Residential Commercial I am responsible for paying my utilities: Yes No My unit is heated with electricity: ( baseboard heaters) Yes No Resident s Name: (Account holder) Move-In Date: Service Location: Unit # at: Mailing Address.
A Resident who requires electricity, HVAC, water, or gas services because of medical or other life -saving needs (e.g., ventilator) should inform PESI immediately with a medical certificate or a signed letter to the address of PESI listed
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