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2. PLEASE COMPLETE THE FORM BELOW TO REQUEST OR CHANGE ELECTRONIC BILLING

   Changes to customer accounts, including requests to add, update, or cancel electronic billing may take up to two billing cycles to take effect.

6. Request Utility Billing Changes
   Form: Add or Update E-Bill
8. Customer Information
10. First Name*
11. Last Name*
13. Address*
14. Apt or Unit #
16. Account Number*
    account number listed on your water bill
18. Phone Number*
20. Email address*
22. Request:*

    1. Start E-Bills
       (Receive Utility Bills Via Email)

    1. Update E-Bills
       (Update Email Address)
23. 
    
    
    
    Cancel E-Bills
25. Old email address
27. Terms and Conditions*

    1. I have read and agree to the Terms and Conditions

    Changes to customer accounts, including requests to add, update, or cancel electronic billing may take up to two billing cycles to take effect.
29. Date*
    Date
Leave This Blank:


31. 1. Receive an email copy of this form.
32. Email address

    This field is not part of the form submission.

33. Submit

* indicates a required field