Care to Share | Orange Water and Sewer Authority

Care to Share

Sign-up to Donate to the Customer Assistance Program

Customer Name
Service Address 1
Service Address 2
Service City
Service State
Service Zip Code
Same as information above?
Billing Address 1
Billing Address 2
Billing City
Billing State
Billing Zip Code
Home/Cell Phone
Work Phone
Email Address
8-digit Account Number
Yes! Please sign me up as a Care to Share donor.
- OR -
I am already a Care to Share donor and I want to change my monthly donation to the following:

Please add the following amount to my monthly bill as my Care to Share donation:
$1 per month
$5 per month
$10 per month
$25 per month
Other Amount $
Round up my monthly bill to the nearest dollar amount

To stop participating, please give OWASA 30 days notice by email or letter.

By pressing the "Sign Me Up!" button above, the information you entered into the form will be automatically sent to OWASA's Customer Service Department through the secure portion of our website.