Water Application for TRUBY, LLC

TRUBY, LLC
In accordance with Georgia Code Section 36-60-17 a record of identifying information must be kept on the user(s) of water service. Persons applying for new service must present a photo ID. and proof of type of occupancy (own/rent/manage/lease-purchase)
APPLICATION FOR SERVICE
Service Address*
Effective Date*

MonthDayYear
Date
Name*

First NameLast Name
Email address*
example@example.com
Email BillMail BillBoth - Email and Mail Bill
Spouse
Home Phone
Cell
Work Phone
Mailing Address if different than service address
Owner of Property?Rent Property?Lease Term
If you are renting the property, or representing a Property Management company Homeowner’s Name and Phone Number will be required
Name
Contact Number
If previous A&A Water, LLC. Customer state address:
Welcome to Truby Inc., a private water utility company servicing small communities throughout Forsyth County since 1986. We strive for excellent customer service and appreciate your business.

Water usage is metered and billed at a per gallon consumption rate. Please refer to your water pamphlet or our website for additional information.

Meters are read the first week of the month and are due on the last day of the month, for the previous month's consumption. A late fee will be assessed for any payment received after the due date.

Meters will be locked down and charged a reconnection fee if payment becomes 30 days past due or the past due balance is higher than the deposit on file.

By signing, I hereby certify I have received an A&A Water, LLC. Policies and Rate Pamphlet.I also certify I have personally inspected the premises for which the water is to be turned on, for water leaks, toilet leaks, outdoor faucet leaks, sprinkler system leaks, washing machine leaks, etc. and that THERE ARE NO LEAKS AND THAT TRUBY, INC. is HEREBY HELDHARMLESS FOR TURNING THE WATER ON TO MY ADDRESS.
Please attach a picture of their identification and proof of ownership or rental agreement? - Total size of attachments cannot be more than 5MB

Cancelof
Signature*

Clear
Date*

MonthDayYear
Date
Should be Empty:

TRUBY, LLC

APPLICATION FOR SERVICE