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Name *
・Last Name
     Cust. no. location
・First Name
Contact Dtails
・Telephone Number

(Telephone numbers should be daytime contact numbers)
・E-mail Address *
Note: If you are inquiring about your account, please include the Service Address for that account, your Customer Number and Telephone Number.

Customer Number
This is written on your electricity consumption notice. If you are not sure, click the button above for a diagram showing where the number is located on the form.
・Service Office Number
・Service Area Number
・Enter number here :
  -     -     -  
Service Address for your account
・Apartment Name 
・Room Number 
・City & Street
・Postal Code
Purpose of your inquiry *    
Subject *
Message *

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