Fillable ADDRESS CHANGE FORM City of Pooler Utility Billing (City of Pooler)

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ADDRESS CHANGE FORM City of Pooler Utility Billing (City of Pooler)

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City of Pooler
Utility Billing Department
100 US HWY 80 SW
Pooler, GA 31322
Ph (912) 748-4800
Fax (912) 748-6777
ADDRESS CHANGE FORM
Name __________________________________________________________________
Previous Mailing Address___________________________________________________
Phone Number ____________________________________________________
Email __________________________________________________________ ______
Today’s Date ____________________________________________________________
New Mailing Address ______________________________________________________
________________________________________________________________________
Customer Signature ______________________________________________________
*This form may also be emailed to utilitybilling@pooler-ga.gov
For Office Use Only
Account No. ___________________________ Date received ______________________
Entered By: ____________________________ Date entered _______________________
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ADDRESS CHANGE FORM City of Pooler Utility Billing (City of Pooler)

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Completed 4 August 2020

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