TAUD Utility Membership Form

Membership Form for Water, Wastewater and Gas Utilities

December 21, 2024
Name of Utility:
Contact Name:
 

Mailing Address
Address:
 
City:
 
State:
 
Zip Code:
 
Street Address
Address:
 
City:
 
State:
 
Zip Code:
 
Phone Number:
 
Fax Number:
Email Address:
 
Web Site Address:
Services:
    
Utility Type:
County:
  
Dues Calculator
Amount Due:
Number of connections:  x $.50 = 
(Minimum $500 and a Maximum of $10,000)
Number of connections should include the total number of taps for water, wastewater or gas, whichever is greater.

Payment Method