Address Changes

Online Services Address Changes

Online Services

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Address Changes

<form-template>
	<fields>
		<field type="checkbox-group" required="true" label="ACCOUNT CHANGE (PLEASE CHECK ALL THAT APPLY)" class="checkbox-group" name="checkbox-group-1616524111133">
			<option value="option-1" selected="true">UTILITY</option>
			<option value="option-2">PROPERTY TAXES</option>
			<option>BOTH</option>
		</field>
		<field type="text" subtype="text" required="true" label="NAME THAT IS REGISTERED TO THE ACCOUNT" class="form-control text-input" name="text-1616524195420"></field>
		<field type="text" subtype="text" required="true" label="PHONE NUMBER" class="form-control text-input" name="text-1616524275395"></field>
		<field type="text" subtype="email" label="EMAIL ADDRESS" class="form-control text-input" name="text-1616524302180"></field>
		<field type="text" subtype="text" required="true" label="OLD CIVIC ADDRESS" class="form-control text-input" name="text-1616524318523"></field>
		<field type="text" subtype="text" required="true" label="NEW CIVIC ADDRESS" class="form-control text-input" name="text-1616524319675"></field>
		<field type="text" subtype="text" required="true" label="NEW MAILING ADDRESS " class="form-control text-input" name="text-1616524320114"></field>
		<field type="date" required="true" label="MOVE DATE" class="form-control calendar" name="date-1616524375228"></field>
	</fields>
</form-template>

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Online Services Address Changes

Online Services

Main content of the website

Address Changes

The Shamrock Centre

Lakeside golf club

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