Required fields are marked with asterisks (*)

E-Billing (eSEND) Enrolment Form

Please print clearly in ink for all sections of the form if you are printing it and not completing it electronically.

Name

Service Address

Email address

Phone number

Effective Date

I would like to

Unenroll in e-billing

Update my e-billing information

Terms and Conditions

Accounts selected above will be emailed to the resident's email address at the time bills are processed.
It is the responsibility of the resident to monitor their email for bills. A hard copy of the bill will not be mailed.
Be sure to add the domain “@municipalityofbluewater.ca” to your email’s safe list to ensure that bills are sent directly to your inbox.
Using e-billing services is subject to standard interest and penalty charges for late payment as applicable. Failure to receive a bill does not relieve the account holder from payment of interest and penalties.
E-bills may be paid by pre-authorized payment plan, telephone or internet banking, or in person at the municipal office.
Residents are responsible for completing and sending in a new form if there are any changes to their contact information, account information, sale of the property, or cancellation of the e-billing.

Name

Date

Owner signature

Clear

Forms completed electronically will automatically be emailed to the Municipality of Bluewater upon selecting submit.

Printed forms may be delivered by hand, mailed or faxed to:

Municipality of Bluewater
14 Mill Ave
Zurich ON N0M 2T0

fax: 519-236-4329