I/We hereby apply to Centre Wellington Hydro Ltd. for electric AND water (if applicable) AND sewer (if applicable) service(s) at the service
address shown above. I/We agree to pay for such service(s) as bills are rendered and comply with the conditions for service of Centre
Wellington Hydro Ltd. and the Township of Centre Wellington.
I/we agree to: (1) pay the security deposit required; or (2) provide a 3 year electric utility credit history for service under 50kW or a 7 year
electric utility credit history for service over 50kW, in order to have this account transferred to my/our name. I/we understand that if my/our
credit rating or electric payment history is not acceptable, I/we am/are required to pay a security deposit. I/we understand that this deposit may
be paid in four equal installments, in four consecutive months commencing the month the service is put in my/our name. I/we further
understand that in the event of either non-payment of deposit or account, service may be terminated and not restored until payment is made in
full including a charge for collections and reconnection. I/we will also inform Centre Wellington Hydro Ltd. at least one week in advance of
when I/we plan to vacate the above premises.
As a tenant of the said property, I/we have read and understood that if the property is in a state of pending disconnection Centre
Wellington Hydro Ltd. may contact the owner of the property to notify them of the pending status.