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Address *

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Phone *

Email *

Effective Date *

Forwarding Address *

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City

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Zip Code

Name of co-applicant or primary contact (if different from above) *

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Last

Phone number of co-applicant or primary contact (if different from above)

Have you ever been a WMGLD customer? *

Are you purchasing or renting your home? *

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Date of Rental/Closing *

Purpose of account? *

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Are you the owner of the property or a tenant? *

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Owner Name *

Owner Phone *

Email to send the final bill to *

What is the closing date? *

The final bill will be done 24 hours prior to the closing, if the closing is a Monday, the final bill will be done on a Friday. Holidays may affect the final bill date

If business, are you tax exempt?

*If yes, please attach your exemption certificate

any the you

Exemption Certificate

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Does the house have solar?

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Address: 480 North Ave Wakefield
MA 01880, USA
Phone: 781-246-6363

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