Name on Account (required)
Mailing Address (required)
Cell Phone (required)
Start Date of Service (required)
Property Address (required)
If renting or leasing please list property owner
I hereby agree that I comply with the Rules & Regulations of Falls Water Company which have been submitted to the Idaho Public Utility Commission of Boise, ID. A copy is available from our office for your inspection. I agree to pay the (periodic) charges as billed to me from the invoices rendered by said company.
Please write your signature in the box below (required)