New Water Account Registration

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New Water Account Registration

<form-template>
	<fields>
		<field type="text" subtype="text" required="true" label="Name" class="form-control text-input" name="text-1587999748384"></field>
		<field type="radio-group" required="true" label="Owner/Renter" class="radio-group" name="radio-group-1587999763092">
			<option value="Owner" selected="true">Owner</option>
			<option value="Renter">Renter</option>
		</field>
		<field type="text" subtype="text" required="true" label="Street Address" class="form-control text-input" name="text-1587999747409"></field>
		<field type="date" required="true" label="Effective Date" class="form-control calendar" name="date-1587999962990"></field>
		<field type="text" subtype="text" required="true" label="Move-In Meter Reading" description="Please read the water meter at move-in time. Please note that if your property has a radio water meter, you may need to use a flashlight in order for the read to appear." class="form-control text-input" name="text-1587999875309"></field>
		<field type="text" subtype="text" required="true" label="Phone Number" class="form-control text-input" name="text-1587999746464"></field>
		<field type="text" subtype="text" label="Email Address" class="form-control text-input" name="text-1588789497915"></field>
		<field type="text" subtype="text" required="true" label="Mailing Address" class="form-control text-input" name="text-1587999745560"></field>
		<field type="text" subtype="text" required="true" label="Town/City" class="form-control text-input" name="text-1587999744488"></field>
		<field type="text" subtype="text" required="true" label="Postal Code" class="form-control text-input" name="text-1587999733206"></field>
		<field type="text" subtype="text" required="true" label="Lawyer or Law Office Used for Sale" class="form-control text-input" name="text-1597430140605"></field>
		<field type="textarea" label="Notes (Optional)" class="form-control text-area" name="textarea-1587999916477"></field>
	</fields>
</form-template>

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