To set up an account, please complete the form below: <form-template> <fields> <field type="date" required="true" label="Date" class="form-control calendar" name="date-1659041548314"></field> <field type="text" subtype="text" required="true" label="Customer Name" class="form-control text-input" name="text-1659041556426"></field> <field type="text" subtype="text" required="true" label="Service Address" class="form-control text-input" name="text-1659041577819"></field> <field type="text" subtype="text" required="true" label="Mailing Address" class="form-control text-input" name="text-1659041598349"></field> <field type="text" subtype="text" required="true" label="Phone Number" class="form-control text-input" name="text-1659041764507"></field> <field type="text" subtype="text" label="Email Address" class="form-control text-input" name="text-1659041783557"></field> <field type="checkbox" label="I am the property owner. " class="checkbox" name="checkbox-1659041804329"></field> <field type="checkbox" label="I am a tenant. " class="checkbox" name="checkbox-1659041825185"></field> <field type="textarea" label="Note for Tenants: We require $100 deposit to set up your account. " class="form-control text-area" name="textarea-1659041841709"></field> <field type="date" required="true" label="Move in Date" class="form-control calendar" name="date-1659042524165"></field> <field type="text" subtype="text" label="FOR OFFICE USE ONLY:" class="form-control text-input" name="text-1659042305886"></field> <field type="text" subtype="text" label="Deposit: $ ___________ General Receipt # __________________" class="form-control text-input" name="text-1659041920974"></field> <field type="text" subtype="text" label="Account # _______________________" class="form-control text-input" name="text-1659042115559"></field> <field type="text" subtype="text" label="Meter Reading: ____________ Completed by: ________________" class="form-control text-input" name="text-1659041904794"></field> <field type="text" subtype="text" label="Entered in the system on: _____________ By: __________________" class="form-control text-input" name="text-1659042193188"></field> <field type="text" subtype="text" label="Notes (If applicable) " class="form-control text-input" name="text-1659042270790"></field> </fields> </form-template> Submit Submitting...