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Moving In
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Possession date
*
Name of the seller (not required)
This simply helps us find the existing gas account
Names you want on the gas bill
*
Service address (municipal, legal description, lot, block, plan)
*
Mailing address (if different from above)
Name of the primary contact
*
Primary email address
*
phone time. Primary
Primary phone number
*
Additional phone number(s)
Bill Notification Options
*
Email me my monthly bill
Send it by mail
Payment Options
*
Pre-Authorized Debit (we will send you a separate form to fill out)
I’ll pay by online banking
Other
If you choose Email and Pre-Authorized Debit, we will apply a 50% discount to your $50 Account Set Up Fee.
Crossroads Gas Co-op Ltd. operates as a non-profit utility and only offers floating gas rates which are more economical over time.
*
I understand
Comment or Message
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