Water/Sewer Connection <form-template> <fields> <field type="text" subtype="text" required="true" label="Name" class="form-control text-input" name="text-1675975166908"></field> <field type="text" subtype="text" required="true" label="Street Address" class="form-control text-input" name="text-1675975270311"></field> <field type="text" subtype="text" required="true" label="Box Number" class="form-control text-input" name="text-1675975284669"></field> <field type="text" subtype="text" label="Telephone Number" class="form-control text-input" name="text-1675975310579"></field> <field type="date" label="Date of Connection" class="form-control calendar" name="date-1675975361801"></field> <field type="date" label="Today's Date" class="form-control calendar" name="date-1675975422694"></field> <field type="paragraph" subtype="output" label="The water/sewer connection fee is $50.00 - this is refundable on selling the property. " class="paragraph"></field> <field type="paragraph" subtype="p" label="Office Use Only " class="paragraph"></field> <field type="paragraph" subtype="output" label="Account Number:" class="paragraph"></field> <field type="paragraph" subtype="output" label="Walk Sheet Number:" class="paragraph"></field> <field type="paragraph" subtype="output" label="Account Added:" class="paragraph"></field> <field type="paragraph" subtype="output" label="Connection Fee Added:" class="paragraph"></field> </fields> </form-template> Submit Submitting...