Form: FCWS001 CORPORATION USE ONLY Date Approved: Rate Code: Meter Install Date: Work Order Number: Account Number: Service Inspection Date: FLO COMMUNITY WATER SUPPLY CORPORATION SERVICE APPLICATION AND AGREEMENT Please Print: DATE APPLICANT’S NAME...Service Application and Agreement • July 8th, 2022
Contract Type FiledJuly 8th, 2022Contact #1 ( ) - (circle one) Cell Home Work [ ] I agree to accept text messages Contact #2 ( ) - (circle one) Cell Home Work [ ] I agree to accept text messages
Form: FCWS001 CORPORATION USE ONLY Date Approved: Rate Code: Meter Install Date: Work Order Number: Account Number: Service Inspection Date: FLO COMMUNITY WATER SUPPLY CORPORATION SERVICE APPLICATION AND AGREEMENT Please Print: DATE APPLICANT’S NAME...Service Application and Agreement • July 8th, 2022
Contract Type FiledJuly 8th, 2022Contact #1 ( ) - (circle one) Cell Home Work [ ] I agree to accept text messages Contact #2 ( ) - (circle one) Cell Home Work [ ] I agree to accept text messages