eBilling Registration Form

eBilling Registration Form

The Corporation of the Town of Pelham
20 Pelham Town Square. Fonthill, ON L0S 1E0 Tel. (905) 892-2607 Fax (905) 892-5055

Town of Pelham is committed to protecting your privacy and developing technology that gives you the most powerful and safe online experience. For full details of the Town of Pelham Privacy Policy please visit www.pelham.ca

First Name *

Last Name *

Street Address *

Address Line 2

City *

State/Province/Region *

Zip/Postal Code *

Phone Number *

Country *

Email Address *

Please enter your Property Location (if different than address above)

Utility Bill Account Number *

I/We authorize the Town of Pelham to register the bi-monthly Utility Billing for e billing services. *

Yes

I/We agree to receive e-mail alerts. *

Yes