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2. First Name*
3. Last Name*
5. Account Number*
6. Email*
8. Phone Number*
10. Address of Service*
12. By submitting this form, you are agreeing to receive your monthly utility bill via email in lieu of a physical, paper bill.*

    1. I Agree
14. By submitting this form, you are agreeing to pay your monthly bill regardless of your receipt of the paperless bill as the City cannot be responsible for spam filters or changes in email addresses. *

    1. I Agree
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16. 1. Receive an email copy of this form.
17. Email address

    This field is not part of the form submission.

18. Submit

* indicates a required field