Seasonal Irrigation Form

Today's Date *

Customer Name (as appears on bill) *

Phone Number *

Email Address *

Service Address *

I need to *Disconnect my irrigation serviceReconnect my irrigation service

Requested Date of Disconnect *

I understand that there is a $30 disconnect fee that will be added to my final bill for this account, and I understand that there will be a $30 connect fee when I choose to reconnect my irrigation service.

Requested Date of Service *

I understand that there will be a $30 connect fee on my next bill for this account, and I understand that there will be a $30 fee added when I choose to disconnect my irrigation service.