ANGLEC Account Information Update Form

Please use this online form to update your Account information with The Anguilla Electricity Company Ltd. ANGLEC.

Thank you!

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* 1. What is your name?

First Name

Middle Initial

Last Name

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* 2. Are you the noted ANGLEC account holder on file?

Yes

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* 3. Please note information for the account you're updating:

Name of Account Holder (s)

Account Number

Meter Number

Location

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* 4. If you are not the account holder, please list your full name and contact details below:

First Name

Last Name

Phone number

Email Address

Relationship to Account Holder

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* 5. Information To Be Updated

Name(s) on Account *

Company Name on File

Email Address

Phone Number(s) *

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* 6. Is there any other information you'd like to update?

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* 7. Is the account holder on file deceased?

Yes

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* 8. CONFIRMATION & VERIFICATION: I hereby confirm that all information and authorization provided in this electronic form is true and within my right to submit.

I also agree to be contacted by an ANGLEC representative for further information or verification if needed.

Kindly note, those who deny this section forfeit the right to have updates to the account or be contacted for further verification and no changes will be made to the account.

Yes, I confirm.

No, I deny.

ANGLEC Account Information Update Form

Question Title

* 1. What is your name?

Question Title

* 2. Are you the noted ANGLEC account holder on file?

Question Title

* 3. Please note information for the account you're updating:

Question Title

* 4. If you are not the account holder, please list your full name and contact details below:

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* 5. Information To Be Updated

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* 6. Is there any other information you'd like to update?

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* 7. Is the account holder on file deceased?

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* 9. Additional Questions, Comments or Concerns: