Apply for Service

Name on Account (required) Mailing Address (required) City (required) State (required) Zip (required) Home Phone Cell Phone (required) Start Date of Service (required) Email (required) Property Address (required) City (required) State (required) Zip (required) If renting or leasing please list property owner I hereby agree that I comply with the Rules & Regulations of the Salmon Valley Water Company which have been submitted to the Oregon Public Utility Commission of Salem, OR. A copy is available from our office for your inspection. I agree to pay the (periodic) charges as billed to me from the invoices rendered by said company. Date (required) Please write your signature in the box below (required)