Required fields are marked with asterisks (*)

Accounts Receivable e-Billing Sign Up

Please complete this form if you wish to receive your bills via e-mail. This includes accounts for dog tags, landfill, marina, airport, etc.

Information from your most recent bill is required to sign up.

If you have any questions, please contact us at accountsreceivable@kincardine.ca or 519-396-3468 x.7106

Are you an:

Individual

Business/Corporation

Customer Number:

Email:

Phone Number:

Amount Due on Most Recent Bill:

Do you have another account you'd like to sign up for eBilling?

Yes

I agree that by submitting this form I authorize the Municipality of Kincardine to email my accounts receivable bills to the email address provided above. 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, nor relieve me from the liability of penalty for late payments. I accept responsibility for contacting the Municipality with any future change in my email address.

I agree to the statement above.

I agree.

Personal information is collected under the authority of the Municipal Act, 2001 for the purpose of creating a record to be used for electronic mailing of accounts receivable bills and for electronic or telephone contact by the Municipality for other municipal purposes. Questions about the collection of personal information may be addressed to the Clerk of the Municipality of Kincardine, 1475 Concession 5, Kincardine, ON N2Z 2X6 Phone (519) 396-3468.