E-Bill Sign Up

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Next Steps: Sync an Email Add-On

To get the most out of your form, we suggest that you sync this form with an email add-on. To learn more about your email add-on options, visit the following page (https://www.gravityforms.com/the-8-best-email-plugins-for-wordpress-in-2020/). Important: Delete this tip before you publish the form.

About You

Your Name(Required)

First Last

Account Number(Required)

Service Address(Required)

Street Address Address Line 2 City ZIP Code

Your Email Address(Required)

Email Address Confirm Email Address

Your Phone(Required)

CAPTCHA

*By completing the above form, you are authorizing DWMF to deliver your water bill to the listed e-mail address. This authorization will remain in effect until written notice of termination is given to DWMF. In the event your e-mail address changes, you are responsible for notifying DWMF in a timely manner. Failure to receive a bill does not relieve the responsibility of paying the bill. Bills are due on the 12th of each month. Any enrollment form processed after the 22nd of the month may have a one month delay in receiving the E-Bill.

Go Green by signing up for E-Bills!

Dandridge Water Management Facility is pleased to offer a more environmentally friendly billing option. Customers who register for this service will no longer receive a paper copy of their bill in the mail.

E-Bill Sign Up

Next Steps: Sync an Email Add-On

About You

Go Green by signing up for E-Bills!

To enroll please use the form: