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Change of Address Form183037 RR 145, Brooks, AB T1R 1B2 Check us out on social media Phone: 403-362-3266 Fax: 888-361-7921 Email: administration@newellmail.ca Web: www.countyofnewell.ab.ca Mailing Address Change Form Date: ______________________________ Name : _______________________________________________________________________ (LAST NAME / COMPANY) (GIVEN NAMES) Previous _______________________________________________________________________ Mailing _______________________________________________________________________ Address: City: _________________________ Province: ___________ PC: __________________ New _______________________________________________________________________ Mailing _______________________________________________________________________ Address: City: _________________________ Province: __________ PC: __________________ Phone(s): _____________________________ __________________________________ Fax: _____________________________ Email: ______________________________________ Effective Date: _______________________ Signature: ___________________________ * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * Office Use Only: Customer Number(s): _________________________________________________________________ Notes: _____ YES, please use my email to send me tax notices/utility notices/AR invoices notifications _____ NO, I don't want to be notified by email