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Pre-Authorized Payments for Water Bills

This form authorizes the Municipality to withdraw payments directly from your bank account either monthly or quarterly. Complete, upload and submit the form to enroll today. Please be aware that:

A void cheque or direct deposit/withdrawal form from your bank is required - drop off or upload with this submission
The form must be received no later than the 1st day of the month to take effect.

Notice of Collection of Personal Information

Personal information on this form is collected under the legal authority of the Municipal Act, as amended. This information is collected and maintained for the purpose of applying for pre-authorized payments for water and taxes. This information will be kept private and confidential unless otherwise required by law.

Full Name

Address

Phone Number

Water Account Number

Select Preferred Billing Option

I would like to enroll in the MONTHLY payment plan

I would like to enroll in the QUARTERLY payment plan

For MONTHLY billing, enter the amount of money to come out of your account on the 15th of each month:

Email Address

By submitting this form I confirm have read and agree with the terms and conditions

Upload your bank information

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Pre-Authorized Payments for Water Bills