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* 1. Customer Name

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* 2. Customer Acct # or Meter Address

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* 3. Are you a Property Owner, Property Manager, Tenant, or other

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* 4. How long have you been a customer with Animas Water Company?

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* 5. How satisfied are you with our service

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* 6. If you rated Animas Water Company a 3 (Neutral) or lower, please give us feedback how we can improve:

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* 7. Have you visited our website www.animaswatercompany.com? What do you like about our website or do you have any suggestions as to how we can improve our website?

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* 8. Are you aware AWC offers E-billing and automatic payment options?

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* 9. Please enter your email below for AWC to send you information on Xpress Bill Pay Services.

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