Water Service Maintenance Sign Up

I hereby make application for the Water Service Maintenance Program in accordance with the plan description.

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.