Utilities Paperless Billing Request

2. Utilites Paperless Billing Request
   Reduce the amount of mail you receive and help the environment. The City of Andover is pleased to offer you a paperless billing option at no cost for your City of Andover Sewer Utility Bill. Just fill out the form below and your invoices will be e-mailed to you during the last week of each month. If you have not received your sewer bill by the last day of the month please contact the City of Andover: (316) 733-1303 ext. 415 or by email at utilities@andoverks.com.

   Reduce the amount of mail you receive and help the environment. The City of Andover is pleased to offer you a paperless billing option at no cost for your City of Andover Sewer Utility Bill. Just fill out the form below and your invoices will be e-mailed to you during the last week of each month. If you have not received your sewer bill by the last day of the month please contact the City of Andover: (316) 733-1303 ext. 415 or by email at utilities@andoverks.com.

6. If this form is submitted prior to the 20th of the month E-Bill will be effective with your next issued billing statement. (A one month delay may occur if submitted after the 20th.)

   If this form is submitted prior to the 20th of the month E-Bill will be effective with your next issued billing statement. (A one month delay may occur if submitted after the 20th.)

10. First Name*

11. Last Name*

13. Service Address*

15. City

16. State

17. Zip

19. Email Address*

21. Confirm Email Address*

23. Phone Number*

24. Alternate Phone Number

26. City of Andover Utility Account Number*

28. DISCLAIMER
    The City of Andover sewer bill is due on the 15th of each month. This email billing is a convenience and a courtesy reminder from the City of Andover. Please remember the balance will be due each month regardless of whether an email was received.

    The City of Andover sewer bill is due on the 15th of each month. This email billing is a convenience and a courtesy reminder from the City of Andover. Please remember the balance will be due each month regardless of whether an email was received.

30. By initialing here, I acknowledge the above disclaimer.*

32. If at any point, you wish to cancel the paperless billing, contact the City of Andover utilities at Utilities@andoverks.com

Leave This Blank:


33. 1. Receive an email copy of this form.
34. Email address

    This field is not part of the form submission.

35. Submit

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