Reading Area Water Authority
1801 Kutztown Road
Reading, PA 19604
Phone: 610-406-6300
Fax: 610-406-6307
Water/Sewer Certification
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Registration Information
Date of this Request*
Name of Agent*
Address*
City*
State*
Zip*
Phone*
Fax*
Email*
Property Address*
Property City*
Property State*
Property Zip*
Property Pin #*
Current Owner Name*
Current Owner Address*
Current Owner City*
Current Owner State*
Current Owner Zip*
Date of Proposed Settlement* (e.g., 01-25-2012)
Title Company Name*
Title Company Address*
Title Company City*
Title Company State*
Title Company Zip*

Terms and Conditions

In Consideration of Reading Area Water Authority granting permission to the undersigned the right to participate in the above activity, I herby waive all claims for damage or loss to my person and property which may be caused by any act, or failure to act, of Reading Area Water Authority, its officers, agents, volunteers, or employees in connection with the above-named activity. I assume the risk of all dangerous conditions that may be involved in participating in the above-named activity and waive any and all specific notice of the existence of any such condition.

I, for myself and for my heirs, legal representatives, and assigns, in consideration of allowing me to participate in the above-named activity, covenant with Reading Area Water Authority its heirs, officers, agents, volunteers, or employees, to never institute any suit or action at law or in equity against Reading Area Water Authority its officers, agents, volunteers, or employees, by reason of any claim I may have that arises our of my participation in the above-named activity.

I, for myself and for my heirs, legal representatives, and assigns, do herby release, acquit, and forever discharge Reading Area Water Authority, its officers, agents, volunteers, or employees and each of them for and from any and all claims, cause of action, suits, damages, injuries, and liabilities of every kind and nature, known or unknown, arising our of my participation in the above-named activity.

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