Authorization to Email Monthly CPWS Bill Customer Name (must match name on CPWS account) Account Number Service Address Email Address Additional Email Address 2 Additional Email Address 3 (bill may be sent to up to 3 emails addresses) I (we) elect to receive the above listed CPWS bill(s) by email to the above listed email address(es). I (we) understand that by signing this agreement, CPWS will discontinue mailing paper bills for the above listed accounts. I (we) understand that failure to receive the CPWS bills listed above by email does not relieve me (us) from the payment obligation. CPWS will not confirm delivery or receipt of bills emailed. I agree Signature Date Phone Number
