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526 Country Squire Rd. Waterloo ON N2J 4G8
519-885-6840
customersupport@wnhydro.com
Landlord Authorization Cancellation Form
Landlord Authorization Cancellation Form
Please accept this as your full and sufficient direction in regard to all properties that I / We own or manage. This direction will apply until further written notice is received by Waterloo North Hydro Inc. This direction will terminate any previous authorizations in regard to transferring responsibility for Hydro service for the following listed properties.
Property Address
*
Property Address (Unit numbers must be included)
Unit Number
Company/Account Holder Information
Company/Account Holder Name
*
First
Last
Owner(s) Name
*
First
Last
Contact/Authorized By (Please Print)
*
First
Last
Signature
Mailing Address
*
Street Address
City
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
Province
Postal Code
Phone Number
*
Fax Number
Email Address
*
Notes
Date
*
MM slash DD slash YYYY