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Transfer Electric Service

Please submit this form to transfer an existing electric service into your name. If further information is needed, we will contact you.

Unpaid balances from previous accounts with Great Lakes Energy, O&A Electric, Oceana Electric, Western Michigan Electric or Top O'Michigan Electric must be paid (if applicable) before service can be transferred.

A security deposit may be required. If so, we will contact you.

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* denotes a requires field.

Mailing Information

First Name: *

Last Name: *

E-mail Address: *

Mailing Address: *

City: *

State: *

Zip: *

Telephone: *

Service Information

Service Address: *

City: *

State: *

Zip: *

Meter Number #1 at Location: *

Meter Reading #1 at Location: *

Date of Meter Reading #1: *

Meter Number #2 at Location: *

Meter Reading #2 at Location: *

Date of Meter Reading #2: *

Other Information

Driver's License Number *

Social Security Number *

Spouse's First Name:

Spouse's Last Name:

Spouse's Maiden Name:

Spouse's Driver's License Number:

Spouse's Social Security Number:

Landlord's Name (if applicable):

Landlord's Phone:

Have you ever had service with Great Lakes Energy, O&A Electric, Oceana Electric, Western Michigan Electric or Top O' Michigan Electric? *

Yes

No

Is there a security light on premises? *

Yes

No

If yes, would you like to keep it?

How is your home heated? *

Do you have a computer? *

Yes

No