LOUD Tap LOUD TAP.pdfFees due by the Consumer, $50 NON-REFUNDABLE ACTIVATION FEE and $1400 TAP FEE Account holder and service location Owner (required) Address (residing at) (required) Effective date for this contract (required) Phone Number (required) E-Mail Have you had water services with us before? (required) Yes No If Yes, Service Address Emergency Contact ( Name & 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 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.
