Sign-up Form
To sign-up for rural water, please refer to the service area map to determine which sign-up form you need to fill out. Then, download the form in the preferred format and return to Iowa Lakes Regional Water via mail or fax. If you need to confirm that you are in our service area, please contact our office at 712-262-8847.
Mail To:
P.O. Box 555
Spencer, IA 51031
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Fax To:
712-262-8241 |
ILRW Sign-up Form (Microsoft Word)
ILRW Sign-up Form (PDF)
Jackson-Martin Sign-up Form (Microsoft Word)
Jackson-Martin Sign-up Form (PDF)


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