Water Application for A&A WATER, LLC v2

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)

Service Address*

Effective Date*

Date

Name*

First NameLast Name

Email address*

example@example.com

Type a question*

Email BillMail BillBoth - Email and Mail Bill

Spouse

Home Phone

Cell

Work Phone

Mailing Address if different than service address

Type a question*

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 A&A Water, LLC., 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 HELD HARMLESS 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

Signature*

Date*

Date

A&A WATER, LLC

APPLICATION FOR SERVICE