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2. Utility Meter Reading
   Businesses who have metered service will be listed in the drop down below. If your business is not in the drop down, you are a flat rate service fee.
4. Which Billing Cycle Are You Submitting For?*

   1. 1st Quarter – Approximately Jan 1 to Mar 31 – Meter Read Due Date: March 15th -- Bill due: April 25th
   2. 2nd Quarter – Approximately Apr 1 to Jun 30 – Meter Read Due Date: June 15th -- Bill due: July 25th
   3. 3rd Quarter – Approximately Jul 1 to Sep 30 – Meter Read Due Date: September 15th -- Bill due: October 25th
   4. 4th Quarter – Approximately Oct 1 to Dec 31 – Meter Read Due Date: December 15th -- Bill due: January 25th
6. Business or Owner Name*
8. To opt in for email reminders on your meter reading, please enter the email here. For more than one, separate with ;*
10. Metered Business Address*
    -- Select One --12400 W Bluemound Rd12500 W Bluemound Rd1260 Church St12700 W Bluemound Rd12958-60 W Bluemound Rd12970 W Bluemound Rd12980 W Bluemound Rd12990 W Bluemound Rd13040 W Bluemound Rd13100 Watertown Plank Rd13105 Watertown Plank Rd13120-1313 Watertown Plank Rd13150 Watertown Plank Rd13425 Watertown Plank Rd13500 Watertown Plank Rd13545 Watertown Plank Rd13605 Underwood Pkwy14700 Watertown Plank Rd1500 Pilgrim Pkwy15280 W Bluemound Rd15300 W Bluemound Rd15340 W Bluemound Rd15350 W Bluemound Rd1800 Highland Dr500 Elm Grove Rd700 Wall St800 Wall St890 Elm Grove Rd945 Elm Grove Rd945 Terrace Dr12475 Knoll Rd12425 Knoll Rd12515 Knoll Rd12555 Knoll Rd

    This list is sorted by number. If your address starts with a 1, you will be at the top. If your address starts with a 9, you will be at the bottom.

12. Are you no longer in business?

    1. We are no longer in business.

    If your company is no longer at the location we have on file OR your business is out of business, please check this box. In the current meter reading box - indicate the last meter reading prior to your departure.
14. Upload a photo of your meter #1*

    File type: .jpg,.pdf. Please show your meter ID in the photo or label the meter number/location if you have more than one meter.

15. Upload a photo of your meter #2

    File type: .jpg,.pdf. Please show your meter ID in the photo or label the meter number/location if you have more than one meter.

    
    

19. Upload a photo of your meter #3

    File type: .jpg,.pdf. Please show your meter ID in the photo or label the meter number/location if you have more than one meter.

20. Upload a photo of your meter #4

    File type: .jpg,.pdf. Please show your meter ID in the photo or label the meter number/location if you have more than one meter.

21. Upload a photo of your meter #5

    File type: .jpg,.pdf. Please show your meter ID in the photo or label the meter number/location if you have more than one meter.

23. Upload a photo of your Sprinkler, Irrigation or Deduct meter #1

    File type: .jpg,.pdf. Please show your meter ID in the photo or label the meter number/location if you have more than one meter.

24. Upload a photo of your Sprinkler, Irrigation or Deduct meter #2

    File type: .jpg, .pdf. Please show your meter ID in the photo or label the meter number/location if you have more than one meter

25. Upload a photo of your Sprinkler, Irrigation or Deduct meter #3

    File type: .jpg, .pdf. Please show your meter ID in the photo or label the meter number/location if you have more than one meter

27. Upload a photo of your Sprinkler, Irrigation or Deduct meter #4

    File type: .jpg, .pdf. Please show your meter ID in the photo or label the meter number/location if you have more than one meter

28. Upload a photo of your Sprinkler, Irrigation or Deduct meter #5

    File type: .jpg, .pdf. Please show your meter ID in the photo or label the meter number/location if you have more than one meter

30. Is your meter in Cubic Feet or Gallons? *

    1. Cubic Feet/CF
    2. HCF
    3. FT3
    4. Gallons

    Measurement will be listed on the meter as cubic feet, CCF, HCF,FT3 or Gallons

32. Only use the entry option below if you cannot upload a photo

36. Current Meter Reading (exactly how it shows)

    If you do not submit an exact reading, the Village will double your last in person reading amount as an estimate.

38. Sprinkler or Irrigation Meter Reading (exactly how it shows)
    Town Bank, Watermark, Western Racquet Club
40. Any additional Meter Readings (exactly how it shows)
    Western Racquet Club
42. Survey for automated meter reading equipment
    Water Pipe Survey

    If you did not take the survey that was sent out with the Q3 bills, please take a minute to answer there survey at this link. This survey will take approx. 5 mins.

44. Meter Reading Due Date

    Meter readings are due on March 15, June 15, September 15, and December 15. But no later than the 25th of those months in order to be billed correctly.

45. 
47. Enter this meter as: 17050
    
48. Enter this meter as: 241700
    
Leave This Blank:


50. 1. Receive an email copy of this form.
51. Email address

    This field is not part of the form submission.

52. Submit

* indicates a required field