Application for Water Service
For new water service, please fill out this form. 
TGW does not and shall not discriminate on the basis of race, color, religion (creed), gender, gender expression, age, national origin (ancestry), disability, marital status, sexual orientation, or military status, in any of its activities or operations.
Sign in to Google to save your progress. Learn more
Email *
APPLICANTS NAME *
SERVICE ADDRESS *
MAILING ADDRESS (if different than service address)Type "same is it is the same. *
MOVE IN DATE (CLOSE OF ESCROW DATE) *
MM
/
DD
/
YYYY
OWNER or RENTER *
SEND BILL TO EMAIL ADDRESS? *
CELL PHONE NUMBER *
BUSINESS PHONE NUMBER *
LANDLINE PHONE NUMBER *
Owner's signature.  Renter's must have owners signature.  Please Type in Owners name, then print form and have owner sign, then  submit to Trout Gulch Mutual Water Co. 90 Victoria Lane, Aptos, CA 95003.    The owner of the property MUST sign the application and by doing so declares that they will be responsible for any charges made against the property if the "renter" vacates the premises, leaving a balance due on the account.
Bills are due and payable on presentation.  Rates and charges which are not paid on or before the due date printed on the bill shall be delinquent. A late fee charge will be applied to the account and a delinquent notice will be sent.  Significant Past due accounts maybe subject to property liens.    I have read and understand the statements above *
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Google Forms