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E-mail Authorization Form

In an effort to be more efficient and effective in the procession of property tax, utility and general receivable bills, the Municipality is offering residents the opportunity to receive these bills by e-mail as opposed to regular mail.

To sign up for e-mail billing, please provide the following information and authorization.

Name:

Mailing address:

Telephone number:

E-mail address:

Please select which bill(s) you would like e-mailed:

Property taxes

Utilities (water/sewer)

General receivables

By signing below, I authorize the Municipality of Northern Bruce Peninsula to send my tax, utility and/or general receivable bills by email and that failure to receive a bill does not excuse me from the responsibility of payment of taxes, utilities or general receivables charges, nor relieve me from the liability of penalty for late payments. I accept responsibility for contacting the Municipal Office with any future change in my email address.

Signature:

Clear

Date:

Personal information on this form is collected under the authority of the Municipal Act, 2001, and will be used for the purpose of processing the information you have submitted. Questions regarding the collection of personal information should be directed to the Clerk at 1-833-793-3537 ext. 236.