Stop Residential Service Form

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Terms and Conditions

The terms and conditions for service are outlined in detail in our Conditions of Service.

If you are paying for WATER in the COUNTY of BRANT, email [email protected] with an inside water meter picture or reading on the final day.

Notice of Collection

Personal information is collected on this form by GrandBridge Energy under the authority of the Electricity Act, S.O. 1998, Chapter 15, Schedule A. The principal purpose for the information we are collecting is to accurately deliver our services to you, billing and collection, and ensuring that we are dealing with only you or individuals you have authorized. Personal information will be used only for the purposes set out in our Privacy Policy.

If you have any questions about this collection, the ways in which your personal information may be used by GrandBridge Energy, or would like further information about GrandBridge Energy’s privacy policies, please contact: GrandBridge Energy’s Chief Privacy Officer, 39 Glebe Street, Cambridge, ON by phone 1-877-871-2215, or by e-mail at: [email protected].

Account Holder Information

Name(Required)

First Last

Account Number(Required)

Primary Phone Number(Required)

Please include dashes (-) when entering phone numbers.

Secondary Phone Number

Email 1(Required)

Email 2

Moving From (Current Address)

Street Number(Required)

Street Name(Required)

Unit

P.O. Box/Rural Route

City(Required)

Postal Code(Required)

Stop Service Date(Required)

Send Final Bill to (Mailing Address)

Mailing address is required even if you are set up for e-billing.

Street Number(Required)

Street Name(Required)

Unit

P.O. Box/Rural Route

City(Required)

Province(Required)

Postal Code(Required)

Country(Required)

Were you a tenant or owner?(Required)

Tenant

Owner

Property Owner or Property Manager Name(Required)

First Last

Property Owner or Property Manager Phone Number(Required)

Additional Comments

Provide additional comments about stopping your service.

Signature(Required)

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