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IRIS District Communication Application

- Services

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- Travis County WCID- Point Venture
  
  Fill out the Form Below to Apply to Receive IRIS Emergency Notifications:
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Address REQUIRED Please fill out this field. Please enter valid data.
- City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
- Priority Contacts #1
  
  Priority #1 Email Address REQUIRED Please fill out this field. Please enter an email address.
  
  Priority #1 Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Home Phone? Yes
  
  Cell Phone? Yes
- Priority Contacts #2
  
  If you have another person you would want to be contacted, fill out the Contact #2 fields below:
  
  Priority #2 Email Address Please enter an email address.
  
  Priority #2 Phone Number Maximum 20 characters Please enter a phone number.
  
  Home Phone? Yes
  
  Cell Phone? Yes
- I request that my personal information (name, address and/or telephone number(s) as listed in Section 182.052, Texas Utility Code, be kept confidential. (Please check to protect your personal information.) I so Request
- Electronic Signature (Please type your Name to Signify your Agreement to receive IRIS District Communications) Please enter valid data.
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Travis County W.C.I.D.-Point Venture

Point Venture, TX

IRIS District Communication Application