Tenant Billing Request Form I would like to have Eastsound Water send a copy of the water service bill to a third-party. This third-party could be a renter/tenant, another family member, a bookkeeper, or a property manager. I am aware that as the Eastsound Water member and owner of the property, that I am ultimately responsible for all service fees, late fees, and penalties that might accrue on my account due to failures of the third-party. Eastsound Water does not “pro-rate” bills to support tenant changes in the middle of a billing cycle. This form is secure and confidential. Read more about our website security. * Indicates a required field. Tenant Billing Authorization* I am the member/owner of this property and understand and accept the above terms. I request that Eastsound Water send a copy of my water service E-bill to the following parties:Member/Property Owner Name* First Last Member Service Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Member Email* EWUA Location Number*Format: 0x-xxxxMember Billing Preferences*E-billPaper Bill via U.S. MailBOTH E-bill and Paper Bill  Please send copies of my bill to the following third-parties:  THIRD-PARTY 1Name* First Last Email* Phone*  THIRD-PARTY 2Name First Last Email PhoneNameThis field is for validation purposes and should be left unchanged. This form is secure and confidential. * Indicates a required field.