Required fields are marked with asterisks (*)

Commercial Utility Registration Form

Date of Possession

Are you the owner or tenant of this property?

Owner

Tenant

Address where water/sewer services are being requested?

Name of the Company/Organization

Mailing Address

City

Province

Postal Code

Main Phone

Secondary Phone

Cell Phone

Email Address

Fax

ESend

The City of Yellowknife is excited to promote green initiatives. We encourage all residents to take advantage of our ESend utility billing option. Using ESend means you will receive your utility bill as a PDF attachment by email. ESend is faster and more efficient than traditional paper billing.

All new accounts are charged a one time set up fee of $44.75. We have discounted this account set up fee to $31.75 for resdients that choose the ESend option.

I would like to take advantage of the Esend billing option;

Yes, please email my bill

No thank you, please send a paper bill

Type of Service

Piped

Trucked

DECLARATION: The above information, to the best of my/our knowledge, is true. Should the information change, I/we shall notify the City of Yellowknife. It is understood and agreed that permission hereby applied for is subject to compliance with the By-Law

Yes

Office Use Only

Work Order #
Reading Date
Reading #
Meter Readers Initials

Form Builder

Commercial Utility Registration Form

ESend

Office Use Only