Yes! I'd like to begin receiving my County Utilities bill on a monthly basis. I understand there will be 42 cents added to each monthly bill to cover additional postage and printing costs.
Account Number:
  
(Located in the top corner of your bill. Begins with a 5.)
Full Name:
Service Address:
 Unit No.
City:
 State:
 Zip:
Daytime Telephone:
E-mail Address:
Contact me via:
Enter these four characters: hq3f