Application for Sanitary Sewer Service Sign-up Application for Sanitary Sewer Service Only (For public water sign up – contact Beaver Falls Municipal Authority) If you prefer to download and print our form, please click here for the PDF. Name(Required) First Last Service Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code PhoneMobile PhoneMailing Address My Mailing Address is different from the address above. Mailing Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Email(Required) Service Desired(Required) Residential Commercial Public Water Well Do you want to sign up for ACH Direct Bill Payment?(Required)YesNoWould you like to sign up for email billing as well? Yes No Occupant Type(Required)Property OwnerTenantName of Landlord First Last Landlord Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Landlord Telephone NumberI hereby make application for sewer/wastewater treatment service, subject to the Rules and Regulations of the Bradys Run Sanitary Authority, to be used for the purposes specified above. In consideration for doing so, I agree with the said Authority, its Successors and Assigns, to take such service and to pay for the same in accordance with the schedule of rates adopted by said Authority; and further agree to conform to the Rules and Regulations adopted from time to time by said Authority.SignatureDate MM slash DD slash YYYY