1. Please email or text me when (select all that apply):
Bills are mailed outTwo weeks prior to end of the 2% Discount PeriodTwo weeks prior to end of Face Period (Before 10% penalty is added)

2. I would like to be notified by (select all that apply):
Email #1 (enter email address)
Email #2 (enter email address)
Text to Cell Phone (enter phone number)
Cell Phone Carrier (required to send text messages):

3. Please provide the following information regarding the property:

Name(s) of Property Owner:*

Property Address:*

Parcel Number (if available) 54-00-:

Best Telephone Number:*

Enter the code below: