ON THE LAST PAGE OF THIS APPLICATION A $125 SECURITY DEPOSIT IS REQUIRED FOR ALL NEW ACCOUNTS. WE CANNOT PROCESS YOUR APPLICATION PRIOR TO RECEIVING THIS DEPOSIT.
For water service, please fill out the following form. You must have a valid Visa, MasterCard or Discover credit card to complete your new service request. If you have questions or need assistance please contact a customer service representative at 304.292.8443.