e-Notice & e-Receipt Signup

e-Billing & e-Receipt Signup

Please click here for more information & terms of this service.

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		<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 &amp;quot;SUBMIT&amp;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>
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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 "SUBMIT" you are agreeing to receive the applicable information electronically.

First Name *

Last Name *

Business Name / Company Number (If Applicable)

Email Address *

Phone Number (optional)

Please Check Applicable Boxes

E-Billing Signup

E-Receipt Signup

E-Billing and E-Receipt Signup

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