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Commercial Account E-Bill Info

  1. Existing eBill Customer?
    Please check if you are an existing eBill customer, and only updating your information. Otherwise, please complete the entire form.
  2. Please provide company name as it is shown on your RVRA account.
  3. Please provide your RVRA account number
  4. Please provide name of person who can answer payment questions
  5. Email address for Primary Contact
  6. Phone number, including area code, for primary contact
  7. Please provide name of person to contact if primary is unavailable
  8. Email address for Secondary Contact
  9. Leave This Blank:

  10. This field is not part of the form submission.