Help Us Help You – Services Help Us Help You! Completing this form should take no more than 10 minutes. We appreciate your time. Please enable JavaScript in your browser to complete this form.Organization NameAddressAddress Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeKey ContactPhoneEmailWhat service(s) do you bill?WaterSewerTrashGasElectricOther# of Active Customers?# of Billing Periods Per Year?# of Cycles Per Period?Do you bill on a post card or in an envelope?Post CardEnvelopeDo you provide a return envelope?YesNoHow many staff members work on your billing process (bill creation and mailing, receipts processing, bank deposits, notice processing and mailing)?On average, what percentage of their time is spent on these tasks?What is their average hourly rate?What is your current billing system?How much are your annual fees for use of this software?Submit
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