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2. Rancho Water Customer Account No.*
4. First Name*
5. Last Name*
7. Address1*
9. City*
10. State
11. Zip
13. Home Phone
14. Mobile Phone
16. Email Address*
18. Opt-Out Information

    Please note that by opting out of leak notifications, you are requesting that Rancho Water not notify you about potential property leaks. However, Rancho Water reserves the right to contact you for all other means of communication, including potential leaks, if the leak volume is significant and needs to be addressed.

20. Select which method(s) of notification you would like to be opted out of:

    1. Letter by Mail
    2. Text Message (SMS)
    3. Phone Call
    4. Email
22. Electronic Signature:*

    By signing this Application, I certify:

    1. I would like to be opted out of leak notifications. I understand that Rancho Water may still contact me if a potential water leak is causing significant water waste.
    2. I understand that opting out of leak notifications does not opt me out of other means of communication, including customer service requests, billing, and potential emergency alerts
24. Questions?
    Please contact Kyle Jeffries at jeffriesk@ranchowater.com or 951-296-6947
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26. 1. Receive an email copy of this form.
27. Email address

    This field is not part of the form submission.

28. Submit

* indicates a required field