TAUD Utility Membership Form
Membership Form for Water, Wastewater and Gas Utilities
April 23, 2024
Name of Utility:
Enter a utility name
Contact Name:
Contact name is required
Mailing Address
Address:
Mailing Address is required
City:
City is required
State:
State is required
Zip Code:
Zip Code is required
Zip Code is not valid
Street Address
Address:
Mailing Address is required
City:
City is required
State:
State is required
Zip Code:
Zip Code is required
Zip Code is not valid
Phone Number:
Phone Number is required
Phone number is not valid xxx-xxx-xxxx
Fax Number:
Fax number is not valid xxx-xxx-xxxx
Email Address:
Email Address is required
Email address is not valid
Web Site Address:
Services:
Water Treatment
Distribution
Wastewater Treatment
Collection
Gas
Utility Type:
Utility District
Municipal
Other
You must select a utility type
County:
Please enter a county
Dues Calculator
Amount Due:
Number of connections:
x $.48 =
(Minimum $450 and a Maximum of $9,000)
Number of connections should include the total number of taps for water, wastewater or gas, whichever is greater.
Number of customers must be entered to calculate membership fee
Payment Method
Select Payment Option
Pay by credit card
Pay Later
Please select payment option