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Bills are mailed out around the 5th of each month and payment is due the 20th of each month.

Start Service

Start Service

Use this form if you are going to be purchasing or renting a property on our system.

We will need to call you once we receive this form to go over fees and requirements associated with setting an account up.

Date Service Begins

Date of closing (if purchasing the residence) or beginning of lease (if renting the residence)

Have you previously been a BCREA member?

Yes

No

If yes, what was your previous address or account number?

First

Middle

Last

Service Address

Address

City/Town

State/Province

ZIP/Postal Code

Mailing Address

Address

City/Town

State/Province

ZIP/Postal Code

Phone Number

Email Address

Date of Birth

Is there a Joint Applicant for this account?

Yes

No

If yes, Joint Applicant Name

First, Middle Initial, Last

I am

Purchasing this Residence.

Renting / leasing this residence.

Landlord / Management Company Phone Number

Landlord / Management Company

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