2. 
4. Form Instructions

   Fill Out the Form Below to Sign-Up for the Go2Sewer Project & Incentive Program

6. Please send me the legal documents necessary to connect to BJWSA service and participate in the Go2Sewer Incentive Program.*
   -- Select One --YES
8. First Name (Property Owner)*
9. Last Name (Property Owner)*
11. Address of property in the project area*
13. Mailing Address (Property Owner) *
15. City*
16. State*
17. Zip Code*
19. Email Address*
20. Phone Number*
22. *Incentive program benefits are not secure until all legal documents have been received by BJWSA. The deadline for participation in the incentive program is Aug. 26 2024.
Leave This Blank:


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

    This field is not part of the form submission.

26. Submit

* indicates a required field