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Irrigation Service Activation

2. Requestor's First Name*

3. Requestor's Last Name*

5. Requestor's Phone Number*

6. Requestor's Email*

8. Service Address*

9. Account Number

11. Customer Name

12. Turn On Date*
    Turn On Date

    Must be a business date. Please allow at least 2 business days notice for scheduling.

14. Comments

Leave This Blank:


15. 1. Receive an email copy of this form.
16. Email address

    This field is not part of the form submission.

17. Submit

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