Caledonia

Region of Queens Municipality

Service Area: Caledonia and surrounding area

Important: This form is to schedule installation of service, not for inquiries or surveys.

Name:*

First

Last

Civic Number:*

Street Name:*

City:*

Postal Code:*

Phone:*

Area Code

-

Phone Number

E-mail:*

Can you see our transmitter?

Bell Tower (Caledonia)

None of the above

Do you have trees surrounding your property?

Yes

No