Water Delivery Request

Account Requirement Notice
Customers must have an active account on file prior to delivery. If you are unsure whether your account is active, or if your account information needs to be updated, please contact our office before submitting an order request. Estimates & invoices are NOT generated from this form. To obtain an estimate, please call the office at 865.214.7053.

Contact Information
Business/Management Company*
Company or individual responsible for the account
Ordered By:*

First NameLast NamePosition
Phone Number:*

Area CodePhone Number
Email Address:
Optional. Invoices will be sent to the email address on file for this account.

Access & Notes
Cabin Name:
If applicable
Codes needed:
If access codes are required and not provided, additional service fees may apply.
Location of holding tank, well head or hot tub:
Additional Notes:

Acknowledgements & Signature
Do you understand that the non-negotiable Holiday Rate will apply to all deliveries on January 1, 2026?

YesNo (delivery will not be made)
Please verify that you are human*
Signature*

Clear
I, agree and understand that by signing the Water Delivery Request form, that my electronic signature is the legal equivalent of my manual/handwritten signature and I consent to be legally bound to this agreement, Terms & Conditions, Privacy Policy and the invoice it produces.
Date*

MonthDayYear
DateHourMinutesAM/PM Option
All services provided by Knockout Water Delivery are governed exclusively by its Terms & Conditions and Release, Waiver & Indemnity Agreement. By submitting this Water Delivery Request form, I acknowledge that my electronic signature holds the same legal standing as my manual/handwritten signature. I hereby provide consent to be legally bound by the terms of this agreement and any resulting invoice. By clicking Submit, you agree to Knockout Water Delivery's Terms and Conditions and Privacy Policy. You consent to receive phone calls and SMS messages from Knockout Water Delivery to provide updates and information regarding your business with Knockout Water Delivery. Message frequency may vary. Message & data rates may apply. Reply STOP to opt-out of further messaging. Reply HELP for more information. See our Privacy Policy.

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