TAUD Utility Membership Form

Membership Form for Water, Wastewater and Gas Utilities

November 28, 2020
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 $.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.

Payment Method