Thank You for Your Submission

2. If you are moving into a new home in Champlin please fill out this New Service form. We will respond by email confirming your request within two business days.

4. Closing Date*
   Closing Date

   *If you are purchasing a property please input your closing date.

6. First Name*
7. Last Name*
9. The Address Of Your New Home*
11. Phone Number*
12. Preferred Email Address*
14. How would you like to receive your bills?

    1. Email
    2. Mail

    *If you choose email, your bills will be sent to the email provided.

15. Would you like to receive SMS notifications?

    1. Yes
    2. No
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17. 1. Receive an email copy of this form.
18. Email address

    This field is not part of the form submission.

19. Submit

* indicates a required field