E-Bill Services Registration

Please Select One Option(Required)

Cancel E-Billing Services

E-BILL REGISTRATION FORM

I am currently responsible for the utility bills at the service address below. I would like to receive my utility bills from Muskegon Charter Township via email to the email address provided below. I understand that E-bill registration may take a full quarterly billing cycle to begin receiving my bill via email. I understand that failure to receive my E-bill does not result in the waiving of late fees and I am responsible for payment in full by the due date.

It is my responsibility to sign off on this contract with Muskegon Charter Township when I move or wish to cancel my E-bill service. Failure to do so will result in continued accrual of charges. I have read and understand the terms of this contract.

Name(Required)

First Last

Email(Required)

Service Address(Required)

Signature(Required)

Type your full name to acknowledge consent

Driver's License #(Required)

CANCELLATION OF E-BILL SERVICES

I would like to cancel my E-Bill registration and have my bill mailed to the address provided below. I understand that it may take a full quarterly billing cycle to begin receiving my utility bill through the mail.

Mailing Address(Required)

Service Address(Required)

Signature(Required)

Type your full name to acknowledge consent

Account Number(Required)

E-Bill Services Registration