Name Daytime Phone #

Service Address

Directions to location

By clicking "Submit" I realize that without a tap application being approved, there is NO GUARANTEE that I will be allowed to connect to PSA water. Also, any payment made in advance or signing of a payment agreement DOES NOT guarantee a connection being made. Upon approval, someone from the PSA Office will contact you at the number listed above. Any questions before then should be directed to Todd Covell at (276)395-6780 ext. 26.