Name: The Town Of High River
Price range: $

Connect or Disconnect Commercial Property Services

Possession Date:

Owner Full Name

Owner First Name

Owner Last Name

Company Name:

Service Address:

City

ZIP / Postal Code

Owner Email

Owner Phone Number:

Is the Mailing Address different from the Service Address?

Yes - The address is different

No - The addresses are the same

Owner Mailing Address (If different from the service address):

City

ZIP / Postal Code

Commercial Ownership Change

Connect (new owner)

Disconnect (prior owner)

Has/Is there a change of commercial tenants?

Yes

Commercial Tenant Change

Connect New Commercial Tenant

Disconnect Commercial Tenant

Effective Date:

Tenant Full Name

Tenant First Name

Tenant Last Name

Tenant Company Name:

Tenant Email:

Tenant Phone Number:

Tenant Mailing Address (If different from company address):

City

ZIP / Postal Code

Comments:

Do not email owner statement, only tenant statement etc.

Would you like your Utility Invoices emailed to you?

Yes

Would you like your Property Tax Notices emailed to you?:

Yes

Would you like your Tenant Statement emailed:

Yes

By selecting I AGREE - I consent that the notices, bills, invoices and communications for my above accounts will be provided by email to the email address listed above, and I will no longer receive a paper copy. I understand that it is my responsibility to provide the correct email address and to inform the Town of High River in writing of any changes to this email address. I understand that non-receipt of my notices, bills or invoices is not justification for late payment, and penalties will not be waived as a result.

Do you agree to the above statement?

I AGREE

Verification

I acknowledge that (by displaying/typing my name above), I am signing this application, and I agree to be bound as if I had endorsed this document with my own handwritten signature.

Electronic Messaging

YES, I would like to receive electronic messages from High River Finance and the Town of High River, including email communications. These messages relate to utilities and tax assessments and notices in the Town of High River and will be sent for the purpose of communicating information about Town of High River utility and tax operations. I understand that I may unsubscribe from this distribution list at any time by emailing corporateservices@highriver.ca and noting the withdrawal of my consent to receive commercial electronic messages from High River Finance and the Town of High River.

FOIP

The personal information on this form is collected by the Town of High River pursuant to legislation governing the information handling practices of the Town of High River, specifically Sections 33(a) and (c) of the Freedom of Information and Protection of Privacy Act (Alberta) (FOIP), the Municipal Government Act (Alberta ) (MGA), and other legislation or bylaws governing the municipality, as may be applicable. By submitting this form, you acknowledge that in accordance with Section 17(2)(g) of the Freedom of Information and Protection of Privacy Act, your name, address and other details related to your request may be included on the Council Meeting agenda and publicly shared on the Town of High River’s website. Should you have any questions related to the collection or disclosure of your personal information, please contact the Legislative & Advisory Services division for the Town of High River at 403-652-2110.

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Connect or Disconnect Commercial Property Services

Connect or Disconnect Commercial Property Services

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