Thank You for Your Submission

2. If you are moving into a new home in Champlin please fill out this New Service form. We will respond by email confirming your request within two business days.

4. Move in Date*
   Move in Date

   *If you are purchasing a property please input your closing date.

6. First Name*
7. Last Name*
9. The Address Of Your New Home*
11. Phone Number*
12. Preferred Email Address*
14. How would you like to receive your bills?

    1. Email
    2. Mail

    *If you choose email, your bills will be sent to the email provided.

15. Would you like to receive SMS notifications?

    1. Yes
    2. No
17. Ownership Status*

    1. Renting Home
    2. Purchasing Home

    *We can send the utility bill directly to you if you are renting the property, however, because the property owner is responsible for any charges we ask that you indicate if you are renting or purchasing the home.

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19. 1. Receive an email copy of this form.
20. Email address

    This field is not part of the form submission.

21. Submit

* indicates a required field