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Meter Lease Application

  1. Contact Information
  2. Meter Information
    For office use ONLY
  3. I understand that by leasing a meter from the City of Bullard, that I will be required to pay the $500 deposit for the charge of the meter set. My total amount due will come out of my $500, and if there is more owed, then I will be responsible for paying the remainder of the bill.
  4. Electronic Signature Agreement
    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.
  5. Leave This Blank:

  6. This field is not part of the form submission.