New Service Application

All fields are required. Should you experience problems please contact our office (812) 246-5416

First Name

Email

Last Name

Phone Number

Service Address

Check Here if Same as Service Address

New Water Bill Address (If different than service address)

Service Start Date

Please check all that apply

Residential

Commercial

Owner

Renter

Landlord

Pool

Irrigation

I agree to the terms & conditionsView terms of use

A $40.00 Membership fee and $60.00 dollar non-refundable fee is due

Customer will be forwarded to Credit Card Payment on Submit

This institution is an equal opportunity provider and employer.