CARMA Billing Services Inc.

PLEASE COMPLETE ALL APPLICABLE FIELDS IN ORDER FOR ENROLLMENT TO BE PROCESSED

Note: Required fields are indicated by *

Home/Cell Phone	-- *
Business Phone	-- *
Email Address	*
	(Use N/A if not applicable)
Service Address
Address	*	Apt # *
City	*
Province	*
Postal Code	*
Start Date	*
Mailing Address (if different than service address)
Address		Apt #
City
Province
Postal Code

If you are using the Online Electricity Services Contact, you do not need to submit a paper copy. Please do NOT submit changes to Online Electricity Service Contracts previously received by Carma Billing Service Inc. For more information or to make a correction, contact our customer service department at 1-888-298-3336. PLEASE READ THE CONDITIONS OF SERVICE CAREFULLY. BY CLICKING THE “I AGREE” BUTTON AT THE BOTTOM OF THIS PAGE, YOU CONFIRM YOU HAVE READ THE CONDITIONS OF SERVICE. YOU AGREE TO BE BOUND BY THE TERMS AND CONDITIONS OF THIS AGREEMENT AND ACKNOWLEDGE THAT THIS AGREEMENT IS ENFORCEABLE LIKE ANY WRITTEN NEGOTIATED AGREEMENT COMPLETED BY YOU. YOU CONFIRM THAT ALL INFORMATION PROVIDED IS TRUE AND CORRECT. YOU AGREE TO BE BOUND BY THE AGREEMENT WHETHER YOU ARE ACTING ON YOUR OWN BEHALF.