Landlord Agreement

Please fill in all fields and click Send Agreement.  Please provide at least a home, work or cellphone number.  You will receive a automatically generated confirmation email after your input has been processed.  Please be sure to read the Landlord Agreement conditions in the right hand column. We must have a copy of your Driver’s License before water service can be connected.  For businesses a Tax ID is required.  You can scan the required documents send the copy to us via US Mail or as an E-mail attachment to service@bigparkwater.com.  If you need help in this regard, please call us at 928-284-2298.  Please note, service can be started Monday thru Friday only!

ADDRESSES TO BE COVERED UNDER AUTOMATIC TRANSFER


Check here to receive your bill electronically.

Please Note: The Send Agreement button for this form will not be enabled until you view the Landlord Agreement by clicking on the Agreement button above right!

To use this form, you must sign it electronically by entering your Email address in the “E-mail Signature of Applicant” field above. By performing this action you hereby acknowledge/confirm you have read and agree to the terms in the right hand column and to the best of your knowledge, all information provided by you is correct.

If you Do Not wish to submit your Landlord Agreement electronically, you may click on “Display & Print Landlord Agreement” to open a new browser window with a printable form that can be filled out, signed and US Mailed/faxed to Big Park Water Company.