e-Billing & e-Receipt SignupPlease click here for more information & terms of this service. <form-template> <fields> <field type="paragraph" subtype="p" label="The RM of Riding Mountain West is offering E-Billing and E-Receipts for Utility Bills and Custom Work Invoices to residents. Please fill in the information below to sign up. By clicking &quot;SUBMIT&quot; you are agreeing to receive the applicable information electronically. " class="paragraph"></field> <field type="text" subtype="text" required="true" label="First Name" class="form-control text-input" name="text-1734030725784"></field> <field type="text" subtype="text" required="true" label="Last Name" class="form-control text-input" name="text-1629490220859"></field> <field type="text" subtype="text" label="Business Name / Company Number (If Applicable)" class="form-control text-input" name="text-1734030753368"></field> <field type="text" subtype="email" required="true" label="Email Address" class="form-control text-input" name="text-1629490216382"></field> <field type="text" subtype="text" label="Phone Number (optional)" class="form-control text-input" name="text-1629490219221"></field> <field type="checkbox-group" label="Please Check Applicable Boxes" class="checkbox-group" name="checkbox-group-1734030408506"> <option value="E-Billing Signup" selected="true">E-Billing Signup</option> <option value="E-Receipt Signup">E-Receipt Signup</option> <option value="E-Billing and E-Receipt Signup">E-Billing and E-Receipt Signup</option> </field> </fields> </form-template> Submit Submitting...
