Required fields are marked with asterisks (*)

e-Billing Enrolment

Municipality of Trent Hills

e-Billing Enrolment Application/Agreement

This program provides options for tax bills and water/sewer bills to be automatically directed to an email account.

Are you registering for Tax, Water/Sewer or both? (select all that apply)

Tax

Water/Sewer

Name(s) on Account:

Phone Number:

E-mail Account that your bills will be sent to:

Mailing Address

Street Address:

P.O. Box (leave blank if you do not have one):

City

Postal Code (or Zip Code):

Province (or State):

Declaration

I declare I am the account holder or representative authorized to make this change.
I agree that by submitting this form I will no longer receive paper bills in the mail. All subsequent bills including any collection notices will be directed electronically to the specified email address.
I agree that I am responsible to inform the Municipality of any standard mailing address change or email address change.
I acknowledge that receipt of bills by email does not change billing cycles, due dates or my responsibility to ensure account balances are paid.
I have added the Municipality of Trent Hills to my email’s safe/contact list

By checking this box I declare that all the information above is to the best of my knowledge correct, and agree to any terms or conditions stipulated:

I agree

Notice of Collection: Personal information contained on this form is collected pursuant to the Municipal Freedom of Information and Protection of Privacy Act, and will be used for the purpose of processing the E-Billing Enrolment Application/Agreement. Enquiries regarding the collection of this information may be directed to the Office of the Clerk/Freedom of Information Coordinator, Municipality of Trent Hills, 66 Front Street South, Campbellford, ON K0L 1L0 705-653-1900

Land Acknowledgement

We recognize the traditional keepers of this land and, specifically our neighbours of the Alderville First Nation, with a formal territorial acknowledgement.

Welcome to the Gunshot Treaty Lands of 1788. It is on these lands and on the shores of the big lake, the Mississauga Anishinabeg met with the Crown to facilitate the opening of these lands for
settlement.

Let us be reminded of the responsibility we all have in making sure that we respect these lands and waters that give us life and sustain our livelihoods.