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Water Quality Report Paper Copy Request

Complete the information requested below and we will mail you a printed copy of the most recent Annual Water Quality Report.

Questions? Please call 541-317-3000, ext 2.

Please correct the fields below:

Please correct the field(s) marked in red below:

Note: (*) indicates required fields.

Note: (*) indicates required fields. Mailing Address

First Name

Last Name

Address

Address 2

City

State

Zip Code

Are you a City of Bend water customer?

Yes

Would you like to receive a printed copy the Annual Water Report each year?

Future Water Reports Would you like to receive a printed copy the Annual Water Report each year?

Yes

To receive a copy of your submission, please fill out your email address below and submit.
Email Address