Print Document

When you click Print below we will prepare a printable document for you. It will automatically download when it's ready.

Did you know?
You can fill in the document online and then click the print icon and all of your information will be populated in the printable document, saving you time later.

Applications are processed within two full business day.

You will receive TWO emails. The first email you receive is a confirmation with an attached copy of your "SIGNED" application. The second email will have a copy of your "COMPLETED" application attached.

Please keep or print out your COMPLETED application as it lists your account number, access number and PIN.

2026 Rates:

In-town stations - $11.78 per 1,000 gallons.

Purdy Mesa Road - $12.42 per 1,000 gallons.

By continuing I agree that I am willing to complete a digital version of the document(s) and that information about my user session will be stored.

Water

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Amy Brown