Water Service Maintenance Sign Up

I hereby make application for the Water Service Maintenance Program in accordance with the plan description. (Please note that customers with meter pits are not eligible for this program.)

Please do not send a payment; charge will be applied to water invoice.


  • Residential: $10.00 per year
  • Commercial: 3/4" and 1" connection $18.00 per year
  • Commercial: 1-1/2" and 2" connection $30.00 per year

To apply by mail, follow these steps:

Step 1: Print out this page with the Water Service Maintenance Plan Application on it.
Step 2: Complete the application
Step 3: Mail the completed form to:

Attn: Water Service Maintenance
PO Box 1339
200 W. Walnut Street
North Wales, PA 19454-0339

OR drop off the completed application at our office.