Stop the Leak! 
 
 
Request for Electronic "paperless" billing
 

 Please fill out the information below:

 Name on Account:
 
 SIRWA  Account Number:
 (example: ###-######-##)
  A value is required.Invalid format.
 Email:
  A value is required.
 Confirm Email:
 
 
Please make a selection.

By submitting this request, I agree to receive my monthly billing through the email address provided.

 By receiving email notifications I understand that

  • I am responsible for including a receipt or account number with my payment, to be received in the office on or before the due date.
  • It is my responsibility to notify Southern Iowa Rural Water Association (SIRWA) of any changes to my email address. 
  • SIRWA reserves the right to utilize my email address or written communication as a means of communication to collect any unpaid bills or past due bills. 
  • SIRWA reserves the right to utilize the email address provided as a means of communication for any purposes within the scope of our business, ie: newsletters.   SIRWA will keep private all email addresses; we do not sell, share or distribute any email addresses for any use outside of our business.
  • A confirmation email will be sent to the email provided once your account has been set up for paperless billing, if you do not receive a confirmation email within 5 – 7 business days, please call our office at 641-782-5744

           
 Please add crm@sirwa.org to your list of contacts in order to ensure prompt delivery of  email notifications.

   

   1391 190th St.
   Creston, IA 50801
   (641) 782-5744
   www.sirwa.org