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Utility E-Billing Registration Form

Please correct the field(s) marked in red below:

Customer Information

*

Customer Information

First Name

Last Name

Mailing Address

Address 2

City

Province

Postal Code

Primary Phoneext.

Secondary Phoneext.

Email Address

Service Location Information

*

Service Location Information

Utility Account Number*

Service Address (check if same as mailing address)

Service Address (If different than mailing address)

Privacy Statement

The personal information on this form is being collected for the purpose of signing the applicant up for Utility eBilling for the Town of Taber. The information is collected under the authority of section 4(c) of the Protection of Privacy Act and is managed in accordance with the Act. If you have any questions about the collection of this information, please contact the ATI Coordinator at 403-223-5500 ext 5515.

To receive a copy of your submission, please fill out your email address below and submit.
Email Address