Submit a Final Water Meter Read

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Submit a Final Water Meter Read

PLEASE BE ADVISED, OUR ONLINE FORMS ARE NOT WORKING AT THIS TIME, PLEASE PHONE 204-748-2440 OR EMAIL TO ADMIN@VIRDEN.CA TO SUBMIT YOUR WATER METER READING. OUR APOLOGIES FOR THE INCONVENIENCE.

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		<field type="text" subtype="text" required="true" label="Name" class="form-control text-input" name="text-1587999304684"></field>
		<field type="text" subtype="text" required="true" label="Street Address" class="form-control text-input" name="text-1587999306766"></field>
		<field type="text" subtype="text" required="true" label="Contact Number" class="form-control text-input" name="text-1587999303028"></field>
		<field type="text" subtype="text" label="Email Address" class="form-control text-input" name="text-1587999297058"></field>
		<field type="date" required="true" label="Effective Date" class="form-control calendar" name="date-1588000030858"></field>
		<field type="text" subtype="text" required="true" label="Final Meter Read" description="Please read the water meter before moving out. Please note that if your property has a radio water meter, you may need to use a flashlight in order for the read to appear." class="form-control text-input" name="text-1587999286971"></field>
		<field type="text" subtype="text" required="true" label="Mailing Address" class="form-control text-input" name="text-1587999270222"></field>
		<field type="text" subtype="text" required="true" label="Town/City" class="form-control text-input" name="text-1587999284283"></field>
		<field type="text" subtype="text" required="true" label="Province" class="form-control text-input" name="text-1587999279386"></field>
		<field type="text" subtype="text" required="true" label="Postal Code" class="form-control text-input" name="text-1587999274187"></field>
		<field type="text" subtype="text" required="true" label="Lawyer or Law Office Used for Sale" class="form-control text-input" name="text-1597430103040"></field>
		<field type="textarea" label="Notes (Optional)" class="form-control text-area" name="textarea-1587999682526"></field>
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