Commercial Application for Service

Business Name
Legal Name and number company
Ownership
- Tenant
- Owner
- Corporation
- Partnership
- Proprietorship
Moving to Address
Street Address Address Line 2 City Province Postal Code
Mailing Address
(if different from moving address)

Street Address Address Line 2 City Province Postal Code
Service Start Date*
Contact Person Information
Contact Name
First Last
Position
Phone
Email
Driver's License No
Ontario Photo Card
Date of Birth
Additional Contact Person Information
Contact Name
First Last
Position
Phone
Email
Driver's License No
Ontario Photo Card
Date of Birth
Payment Plan Option
- 1/We wish to enroll in the Pre-Authorized Payment Plan (A)
- I/We wish to enroll in the Equal Payment/Pre-Authorized Payment Plan. (B)
- None of the above C
Email
Enter Email Confirm Email
If Security deposit or credit check is required, you will be contacted by our office.
Attachments
Drop files here or
Questions / Comments
Agreement
I/We agree to accept Distribution Services from Orangeville Hydro in accordance with their Conditions of Service and be bound by them as they exist and are subject to change. Orangeville Hydro’s Conditions of Service may be viewed on our website at orangeville.com. If you are a tenant, the owner’s name and address will be used to provide notice in the event your service is disconnected. The owner may also be notified of your final billing date. Primary applicant listed above accepts financial responsibility for the account and can access all account information.
- I Agree
Name
This field is for validation purposes and should be left unchanged.

Contact Person Information

Additional Contact Person Information