WRUD Tap WRUD TAP.pdfFees due by the Consumer, $50 NON-REFUNDABLE ACTIVATION FEE and $1250 TAP FEE Account holder and service location Owner (required) Address (residing at) (required) Effective date for this contract (required) Phone Number (required) E-Mail (required) Have you had water services with us before? (required) Yes No If Yes, Service Address Emergency Contact Name (required) Emergency Contact Phone Number (required) This contract shall be binding upon the parties hereto, their heirs, successors, and assigns. In witness whereof, the parties executed this agreement. Consumer's name (required) Your Signature (required) Confirm e-Signature Review Electronic Records and Signatures Policy (required)Read our Electronic Record and Signature Disclosure I agree to use electronic records and signatures Mailing address (required) City (required) State (required) Zip (required) Photo ID ( JPEG or PNG) Proof of Ownership Office Use- Account & Receipt Numbers There was a problem saving your submission. Please try again later. Please wait while your submission is being saved... Submitting...Submit Thank you, your submission has been received.
