Irrigation Stop/Start Service

4. Instructions
   Please fill out this form to turn on/turn off irrigation service. Please give one business day's notice when scheduling.

   Please fill out this form to turn on/turn off irrigation service. Please give one business day's notice when scheduling.

6. Customer # - Account Number #

8. First Name*

9. Last Name*

11. Service Address *

13. City
    Lafayette

    Lafayette

14. State
    Indiana

    Indiana

16. Primary Phone Number*

18. Service Date Requested?*
    Service Date Requested?

    *Next business day

19. Requested Service*
    -- Select One --Turn OnTurn Off

21. Additional Information:

Leave This Blank:


23. 1. Receive an email copy of this form.
24. Email address

    This field is not part of the form submission.

25. Submit

* indicates a required field