Service Upgrade Form

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Orangeville Hydro Customer Information

Business Owner Name*

First Last

Contact Name*

First Last

Address*

Street Address Address Line 2 City Province Postal Code

Phone*

Email*

Electrical Contractor Information

Company Name*

Contact Name*

First Last

Address*

Street Address Address Line 2 City Province Postal Code

Phone*

Email*

Consultant Information

Company Name

Contact Name

First Last

Address

Street Address Address Line 2 City Province Postal Code

Phone

Existing Service Details

Account Number*

Scope of Work*

Add or Remove Meter

Meter Base Change

Panel Change

Repair

Existing Amperage*

Underground

Overhead

120/240V, 1Ø

120/208V, 3Ø

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Service Upgrade Form

Orangeville Hydro Customer Information

Electrical Contractor Information

Consultant Information

Existing Service Details

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