Customer Pre-Authorized Debit (PAD) Agreement


Owner or Tenant Information


Would you like to receive your water/sewer and/or tax bill to the email provided above?

Payment Plan Options

Which services would you like to register for pre-authorized debit?

Financial Information

Please see the example image below for where to find your financial information on your cheque.

By submitting this form to the Municipality of Saugeen Shores, I/we authorize the Town of Saugeen Shores to debit the bank account at the above noted financial institution for the payments indicated above.

This Pre-Authorized Debit (PAD) Agreement may be revoked at any time subject to providing notice at least 10 business days before the next debit is scheduled. To obtain a sample cancellation form, or for more information on your right to cancel a PAD Agreement, contact your financial institution or visit