Services Requested*

    Occupant Information
    Is your Mailing Address the same as the Service Address?






    Would you like to add a Co-Occupant?

    Co-Occupant Information




    E-Billing Information
    I hereby authorize the City of Goodland to E-Mail my utility bill for the above listed address to my personal E-Mail address as listed above.
    With signing this agreement I understand that I will no longer receive a utility bill in the mail from the City of Goodland.

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