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Please fill out this form if you need a new payment card or if your current card is lost, damaged, or stolen and you need a replacement. This form is for customers with a supply address in the our central region.

Fields marked with * are mandatory.

Your details


Data protection: The information you provide may be used by Affinity Water to provide you with water services, give you information about your water supply and manage your account; including the collection and recovery of charges. We also collect charges on behalf of Thames Water and Anglian Water who provide sewerage services in our supply area. Read our full privacy policy.

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