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Get As The NYSEG Customer Of Record If Circumstances Make It Difficult For You To Keep Track Of Your

X Customer Signature Date Please make a copy of this completed form and retain for your records. Please e-mail an electronic copy of this form to custserv nyseg.com or fax completed form to NYSEG Customer Relations Center at 1.800.827.5947 or mail a completed form to P.O. Box 5240, Binghamton, NY 13902-5240. Contact us online at nyseg.com by using our secure form (click on Contact Us then on Write to NY.

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