Change Of Customer Information Form

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CHANGE OF CUSTOMER INFORMATION FORM
Date: ________________________
Name on Account: _____________________________________________________________________
Account Number: ______________________________________________________________________
Service Address: _______________________________________________________________________
UPDATED ACCOUNT INFORMATION:
Mailing address
______________________________________________
_______________________________________________
Phone Number:
_______________________________________________
Other:
_______________________________________________
Person’s Name Filling Out this Form: ____________________________________
Please mail, fax, email or hand deliver to:
CITRUS COUNTY UTILITIES
3600 W Sovereign Path
Lecanto, FL 34461
PHONE: (352) 527-7650
FAX:
(352) 527-7644
Email:

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