Please fill this out only if you have an existing account with Holland Charter Township Water & Sewer Department. If you need to start a new account in your name, please call 616.395.0078. Name (as shown on utility bill)(Required)Service...
Name (as shown on utility bill)(Required)Service address(Required)Holland Charter Township account numberPhone(Required)Cell numberE-mail address Consent(Required) I authorize Holland Charter Township to e-mail my monthly utility bill and I acknowledge that I will no...
Name (as shown on utility bill)(Required) First Last Service address(Required)Holland Charter Township account numberPhone number(Required)Cell numberEmail(Required) Final my account as of (date)(Required) Please enter the final date that your account should be...
Name(Required) First Last Phone number(Required)Email(Required) Cell numberParcel addressParcel numberOwner of parcelPlease send estimate to Email Mail Comments...
