Transcription of Customer Information: EXISTING CUSTOMER
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Customer Information: EXISTING CUSTOMER
ELECTRIC SERVICE REQUEST FORM- NEW SERVICE CUSTOMER FULFILLMENT: Phone: 1- 800-375-7405 Fax: 1 -888-266-8094 Email: Please fill out all necessary information completely and legibly. ANY INCOMPLETE ORDERS WILL NOT BE PROCESSED CUSTOMER Information: CURRENT ACCOUNT _ _____ CUSTOMER Name: CUSTOMER # or Last 4 of SSN/Tax ID*: Phone: Mailing Address: * CUSTOMER # or Last 4 of SSN/Tax ID is required for all new services Service Address: *911 addresses are required for all new services.
House Pedestal Meter pole . Distance of pole line from point of attachment? ELECTRIC SERVICE REQUEST FORM- NEW SERVICE CUSTOMER FULFILLMENT: Phone: 1-800 -375 7405 Fax: 1 888 266 8094 Email: workrequest@nationalgrid.com Please fill out all necessary information completely and legibly. ANY INCOMPLETE ORDERS WILL NOT BE …
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