Rocky Rural Electrification Association

Rocky Rural Electrification Association

Disconnection Form

 


Disconnection Form for Rocky R.E.A. Ltd. service area
.
  NAME (first and last) as it appears on the bill:

  ACCOUNT NUMBER
  Final Bill to be sent to:
FORWARDING ADDRESS:

  Disconnection Date:

Day

Month

Year

LAND LOCATION

Quarter-- Section-- Township-- Range-- Meridian--

Plan     Block     Lot     Parcel size acres
  Are you the OWNER?---- check box if you are
Are you the RENTER?-----check box if you are
Landlord's Name ------
Landlord's phone #----


Home Phone #::

Office Phone #:


Cell Phone #:

E-MAIL ADDRESS :

Fax #:
  New Owner's Name
Final Meter Read:--- To close your account, we need to read your meter.
Remember
you are responsible for the utilities until Rocky R.E.A. Ltd. has a final meter read.


  New Owners Address:
FINAL COMMENTS:



   



Copyright 2002-2009 Rocky Rural Electrification Association Ltd.
Phone 403-845-4600