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2. 
4. Delinquent Notification Enrollment Form

   I, the undersigned, agree to enroll to receive notifications of delinquent utility balances from the City of Tavares through one or more of the following methods: Text, Email, or Phone Call.

   I understand I may incur costs related to receiving a text.

   I understand I may receive these communications for any utility accounts I hold with the City of Tavares.

    

6. Phone Number
8. Text Cell Phone Number
10. Email Address
12. Account Number*
14. Service Address*
16. Signature*
17. Date*
    Date
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19. 1. Receive an email copy of this form.
20. Email address

    This field is not part of the form submission.

21. Submit

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