PAP water and wastewater form

Town of Espanola
Pre-Authorized Payment Plan

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Enter your name *

How to enroll:

1. Complete and sign the form.
2. Enclose a VOID cheque (Line of credit cheque will not be accepted).
3. Mail, fax, email or drop off to the number/address below

Please Select a Pre-Authorized Payment Plan Option *

Please select a Service *

Date of Cancellation (only if cancelling Pre-Authorized Payment Plan)

Account/Roll Number (found on top of bill) *

Service Address *

Name (1) *

Name (2)

Mailing Address (Number & Street) *

City/Town & Province *

Unit or Apt Number

Postal Code *

Phone Number *

Alternate Phone Number

Email Address *

Optional second Email Address

Authorization

I/we authorize the Town of Espanola to process a debit from our account indicated in the amount that has been agreed upon. This authority is to remain in effect until the Town of Espanola has received written notification from me/we of a change or termination.

For Property Taxes ONLY, please select one:

Water and Sewer payments will be withdrawn on the 15th of each month. An administrative fee will be applied to your account for payments not cleared by your financial institution and penalty charges will apply. Failure to abide by the terms of the plan may result in cancellation of enrollment.

Contact information

Phone: 705-869-1540
Fax: 705-869-0083
Email: [email protected]
Website: www.espanola.ca

By Mail or in person:
Town of Espanola
100 Tudhope Street, Ste 2
Espanola, ON P5E 1S6

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PAP water and wastewater form

PAP water and wastewater form

Town of EspanolaPre-Authorized Payment Plan

Town of Espanola
Pre-Authorized Payment Plan