START SERVICE Use this form to open a Medford Water Commission (MWC) account. A customer service representative will contact you within five business days to confirm your request. Have you ever had an MWC account? yes   no First Name: Last Name: M.I.: Driver's License #: Employer: Spouse or Roommate First Name: Last Name: M.I.: Last Permanent Address: Apt /Unit: City: State: Zip: New Service Address: Apt /Unit: City: Own or Rent: Mailing Address (if different from service address): Apt /Unit: City: State: Zip: Activate Service On  (starts/stops not available on weekends or holidays) Date with 4 digit year (example, 4/5/2000) Does service need to be turned on? yes   no Home Phone: Work Phone: Email: (optional) Cell Phone: (optional) Printer friendly version Home Organization Divisions Employment Search Warranty and Liability Site Map Official Privacy Policy

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