New or Final Water Meter Reading

<form-template>
	<fields>
		<field type="header" subtype="h3" label="If you are selling/purchasing a residence within the town of Landmark or Lorette, you must obtain a water meter reading on your first/last date of possession. To activate your meter, you will have to shine a flashlight or your phone light onto the utility meter screen. The meter reading will then appear. A picture of the reading must be taken and submitted using this form. please note that we do not create utility accounts for renters. thank you! " class="header"></field>
		<field type="select" required="true" label="Type of Reading" placeholder="Select Option" class="form-control select" name="select-1579273120963">
			<option value="Final Meter Reading" selected="true">Final Meter Reading</option>
			<option value="New Meter Reading">New Meter Reading</option>
		</field>
		<field type="text" subtype="text" required="true" label="Full Name" class="form-control text-input" name="text-1578449393539"></field>
		<field type="text" subtype="email" required="true" label="Email " class="form-control text-input" name="text-1578449277073"></field>
		<field type="text" subtype="text" required="true" label="Phone number" class="form-control text-input" name="text-1578449630838"></field>
		<field type="select" required="true" label="Community" placeholder="Select Option" class="form-control select" name="select-1578449435738">
			<option value="Lorette">Lorette</option>
			<option value="Landmark">Landmark</option>
		</field>
		<field type="text" subtype="text" required="true" label="Street Address" class="form-control text-input" name="text-1578449495656"></field>
		<field type="text" subtype="text" label="Mailing Address (If Different from Street Address)" description="If you're moving out and providing your final meter reading, please advise your new mailing address where we can mail the final bill to. " class="form-control text-input" name="text-1669993625310"></field>
		<field type="select" required="true" label="Purchasing or Selling?" description="Legally purchasing or selling the property" class="form-control select" name="select-1692194463965">
			<option value="Purchasing" selected="true">Purchasing</option>
			<option value="Selling">Selling</option>
		</field>
		<field type="date" required="true" label="Possession date/ last day of possession" class="form-control calendar" name="date-1580417953541" value="dd/mm/yyy"></field>
		<field type="select" required="true" label="Utility Bill Delivery Method" description="Specify how you would like to receive your quarterly utility bill" placeholder="Select Option" class="form-control select" name="select-1668095849310">
			<option value="Mail">Mail</option>
			<option value="Email">Email</option>
		</field>
		<field type="text" subtype="text" label="Account number " class="form-control text-input" name="text-1578449515282"></field>
		<field type="text" subtype="text" required="true" label="Meter Reading " description="(numbers only, no decimals)" class="form-control text-input" name="text-1578449548240"></field>
		<field type="file" required="true" label="Photo of Meter Reading  " description="Please provide photo of water meter " class="form-control file-input" name="file-1578449766231"></field>
		<field type="date" required="true" label="Date of Reading " class="form-control calendar" name="date-1580418245733" value="dd/mm/yyyy"></field>
		<field type="text" subtype="text" label="Text Field" class="form-control text-input" name="text-1700862178934"></field>
	</fields>
</form-template>

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New or Final Water Meter Reading