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Utility Services Change Request (*Seasonal Customers) - Form 2

  1. Town & Country Utilities, Babcock Ranch Water Utilities as operated by Town & Country Utilities and
  2. Request of mailing address changed on the account.
  3. I agree to notify BRWU of any further changes to my billing information/mailing address upon return.
  4. Electronic Signature Agreement*
    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.
  5. *Customers will be responsible for service disconnection and reconnection charges. Base monthly facility charges shall continue to accrue to the Customer and the premises.
  6. Telephone: 800-826-5721
  7. Form 2 – Rev 12/6/18
  8. Leave This Blank:

  9. This field is not part of the form submission.