New build request for water meters

New build request for water meters
Builder information
Builder/contractor name*
Date*

MonthDayYear
Date
Builder phone number*
Please enter a valid phone number.
Builder email address*
example@example.com
Builder/contractor authorized representative(s)*
Expected pick up date*

MonthDayYear
Allow 1 week minimum for a builder kit (3/4” x 1”) meter. All other meter sizes, please reach out to Business Services for a estimated delivery time.
Application information
Type of application*
Water service line size*
Meter size requested*
Quantity of meters*
Location/job site address *
Lot numbers, civic address
Alectra account information
Account number*
Account address*
Account address 2
If applicable
Unit/suite
If applicable
Account city*
Account province*
Postal code
Meter order billing information
The billing contact is a*

BusinessPerson
Contact name*
Company name*
Email address
example@example.com
Street address*
Street address 2
If applicable
Unit/suite
If applicable
City*
Province*
Postal code*
Phone number*
Please enter a valid phone number.
Alternate phone number
Please enter a valid phone number.
Terms and conditions
I hereby:
1. Request for purposes of installation at the above noted location City water meter(s)*

Agree

Water meter size	Price per unit ($)
¾” x 1” (19mm x 25mm)	$225.00
1.5” (38mm) and larger	Set by Water Services

Pay all applicable fees and charges relating to the water meter, including the above*

Agree
3. All applicable City bylaws and policies (including those relating to water supply, water and wastewater customer accounts and water and wastewater fees and charges) apply in respect of this request*

Agree
4. Release, discharge and indemnify The Corporation of the City of Guelph (the “City”) and all its members of Council, directors, officers, employees, agents and contractors from all claims, demands or actions, whether involving negligence or not, for all liabilities, losses, damages, injuries, costs and expenses, relating in any way to the water meter.*

Agree

Builder information