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CARROLLTON UTILITIES INFORMATION REQUEST FORM

First Name (required) Last Name (required) Date
Company (if applicable) *Carrollton Utilities Account #
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City, State, Zip City, State, Zip
........ ........
Phone # Fax #
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*Account number must be included if information is being requested regarding your account with Carrollton Utilities.
Account number is located on your monthly bill.

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