The City of Chestermere offers you a simple, easy method of payment through our Pre-authorized Payment
Plan. Skip standing in line, writing monthly cheques and paying for postage by using this convenient plan that
authorizes automatic monthly deductions of your utility bill from your bank account.
Under the Pre-authorized Plan you will continue to receive a bill showing the amount that will be deducted from
your bank account. The withdrawal from your bank account will be the 27th day of the month the bill is due or
the following business day if the 27th falls on a weekend. If you have any questions about your billing, please
call 403-207-7070. We can also be reached by email at email@example.com.
If for any reason you need to change or cancel the Pre-authorized Payment Plan, send the request in writing to
the City and we will make the changes you need. Please inform us of these changes a minimum of five
working days prior to the due date on your bill.
1. Complete the form below.
2. Sign the application form.
3. Return the completed form, along with a copy of a void personalized cheque clearly showing the bank
account number to be used to: firstname.lastname@example.org or at City Hall: 105 Marina Road,
Chestermere, AB T1X 1V7.
I/we authorize the City of Chestermere to begin automatic withdrawals for payment of
my/our monthly City utility bill from the bank account number identified on the enclosed cheque. This authority
is to remain in effect until there is notification of termination from the customer.
Located on the top portion of your bill:
Please print your name:
For joint account where more than one signature is required on cheques, all required signatures must be provided.
If you cannot submit the form and cheque in person, please submit the them via our drop box in an envelope addressed to the utilities department.
This field is not part of the form submission.
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