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  1. Please Note
    We cannot accept any applications any further in advance than 5 business days. If you submit any sooner, your application will be rejected.
  2. State
  3. Enter the Date of Birth for the Primary Applicant.
  4. Is the service address DIFFERENT than your mailing address?*
  5. For Residential Customers, please be aware you will have to provide us with a lease or purchase agreement and a copy of a state or federally issued photo ID. For Commercial Customers you will have to provide the articles of Incorporation or a business license that states your Tax ID Number.
  6. Are there any other occupants over the age of 18*
  7. Enter phone number for each occupant over the age of 18.
  8. Attention!
    You will still be required to provide your Social Security Number and those of any additional occupants prior to establishing any water service.
  9. Electronic Signature Agreement
    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.
  10. Leave This Blank:

  11. This field is not part of the form submission.