Form Builder

Required fields are marked with asterisks (*)

eBilling Request Form

Please fill out this form if you would like to request eBilling for an existing account.

Please note that this form is not for new accounts. Any attempts to use this form to try to set up a new account will not be processed.

If the information provided about an existing account does not match what is currently on file with the Town Of Saugeen Shores, the request for eBilling will not be processed and the bills will continue to be mailed.

Customer or Company Name

Email:

Phone Number:

Effective Date:

Please check the type(s) of account(s) the eBilling request applies to:

Property Taxes

Water/Wastewater

Would you like to request eBilling for multiple properties/accounts?

Yes

By submitting this form:

I authorize the Town of Saugeen Shores to email the type(s) of bills selected to the email address provided above. I accept responsibility for contacting the Town of Saugeen Shores with any future change in my email address.

I have the legal authority to make this request for eBilling, and affirm that the information provided is accurate.

I understand that I will no longer receive my bills by regular mail and that failure to receive a bill does not excuse me from the responsibility of payment of that bill, nor relieve me from the liability of penalty for late payment.

Authorizing Name(Type the Name of the person submitting the form)

Personal information is collected under the authority of the Municipal Act, 2001 for the purposes of creating a record to be used for mailing of property tax and utility bills and for electronic or telephone contact by the Town for other municipal purposes. Questions about the collection of personal information may be addressed to the Clerk of the Town of Saugeen Shores, 600 Tomlinson Dr., PO Box 820, Port Elgin ON N0H 2C0 Phone: 519-832-2008.