Required fields are marked with asterisks (*)

Bulk Water Fill Station Reload

Please ensure all fields of the form are completed accurately. There will be a one (1) business day delay before the amount is added to your account.

IMPORTANT: To ensure that you move through all of the steps required to complete this online service, please use the blue buttons in this form and do not use the Back/Forward button in your internet browser.

Purpose

To pay for Bulk Water Fill Reload by Debit Visa or credit card. If you have any questions regarding this form, please contact the Revenue Division.

Notice of Collection

Personal information contained on this form is collected under the authority of the Municipal Act, 2001, S.O. 2001, c. 25 and will be used for the purposes of administering your request. Questions about this collection should be directed to the Supervisor of Information Services.

Location

Mt. Pleasant

St. George

FOB #

Name on Account

Amount to load on account