EmailMe Form - Paperless Water Billing Sign Up

Customer Name: *

Email: *

15 Digit Location ID: *

Contact Phone Number:

### - ### - ####

Service Address: *

Street Address City State / Province / Region Postal / Zip Code

Mailing Address (if different from service address):

Street Address City State / Province / Region Postal / Zip Code

**Please note: By signing up for paperless billing, you will no longer receive a bill via the US Post Office. Remember if you change your e-mail address it is your responsibility to submit a new request form. Failure to receive a bill does NOT alter due date, or expect you from late fees or shut off status**