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Please fill out this form completely and sign the bottom signature line. When you return
this form, please include either a letter of credit from any utility company that shows 1 year of good payment history for you or a $150 security deposit. This deposit is credited to your account after 1 year of timely payments, or if you close your account it will be applied to your final bill. The security deposit will be reduced to $75 if you sign up for electronic auto-pay today. Please contact our office to finalize the application with payment of the security deposit, a letter of credit, or electronic auto-pay.
There is also a $25 service fee for water service. This service fee is charged anytime there is a change in the water account name or if the water is turned on or off. The $25 fee will be reflected on your first bill.
Please turn this application in at:
180 N. 9th St.
Show Low, AZ 85901
Form must be completed, printed, signed, and returned to the City of Show Low.
Monday - Friday
1 - 3 p.m.
Please read the following information carefully.
If yes, please check box
If no, please indicate if you want your water turned on with no one present
If no, please check box.
By signing this application, I affirm that I am responsible for the payment of all utility services provided by the city.
This field is not part of the form submission.
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