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2. Account Update Form
4. Update Type*

   1. Account Update

   1. House Sale

   1. House Purchase

   1. Other

6. If House Sale is selected, the Utility will remove your name from the account.

8. Other

   If Other is selected, please explain the update or information to be changed on your account.

12. Customer Name*
14. Service Address
16. Address*
18. City
19. State
20. Zip Code
24. Other Account Info
26. Mailing Address

    1. Yes
    2. No

    Is mailing address the same as the service address?

28. Forwarding Address
30. Forwarding City
31. Forwarding State
32. Forwarding Zip Code
34. Mailing Address
36. Mailing City
37. Mailing State
38. Mailing Zip Code
40. Phone Number*
41. Email Address
45. Date
    Date

    If purchasing or selling home, what is the approximate closing date?

46. E-Billing

    1. Yes
    2. No

    Are you interested in receiving electronic bills? If so, must provide an email address.

48. ACH/Direct Debit

    1. Yes
    2. No

    Are you signed up for Automatic Payments?

49. ACH Discontinue Form
    ACH Discontinue Form

    Complete this form and email it to waterclerk@browndeerwi.org to ensure the automatic payments are deactivated.

51. Automatic Payments

    1. Yes
    2. No

    Would you like to sign up for automatic payments?

52. Automatic Payment Form
    Automatic Payment Form

    Complete this form and email it to waterclerk@browndeerwi.org along with a copy of a voided check to ensure payments are never missed.

Leave This Blank:


53. 1. Receive an email copy of this form.
54. Email address

    This field is not part of the form submission.

55. Submit

* indicates a required field