WATER METER READING FORM:

Please submit your readings between the 21st & 25th of each month.

Please provide the following contact information:

Name
Street Address
E-mail

Enter your account number:

-- ####*#

Enter the date of reading :

-- mm/dd/yy

Enter your reading in the space provided below.

Comments:



Village of Whitehouse. All rights reserved.
Revised: May 11, 2008