E-Billing and Auto Pay Registration

2. E-Billing and Auto Pay Registration
   Complete this form to sign up for e-billing and request payment options. Once received, we'll assign your account a PIN to use for one-time payment. For auto pay through checking account, select option below.
4. Today's Date
6. First Name
7. Last Name
9. Service Address
11. Email Address
13. Phone Number
15. E-Billing and Auto Pay Registration

    I am registering for:

    1. E-Billing
    2. Auto Pay from checking or savings account
    3. Both E-Billing and Auto Pay from checking/savings account
    4. PIN for online credit card payments
17. We'll contact you with your PIN and further instructions within the next 1-2 business days. For more information, please call 937-748-4343 or email utilities@cityofspringboro.com.
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19. 1. Receive an email copy of this form.
20. Email address

    This field is not part of the form submission.

21. Submit

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