Form Center

2. 

3. City of Kingsford

   The Progressive City

5. Utility Billing Email Form

7. Resident Information
9. Name*
10. Email Address*
12. Address*
14. City*
15. State*
16. Zip Code*
18. Phone Number*
20. Electronic Signature Agreement*

    I hereby authorize the City of Kingsford to deliver my utility bill via email effective the date of my signature below. I also understand I will no longer receive an invoice via regular mail. This authorization is to remain in effect until I terminate the service by signing the revocation form at least ten business days prior to the next scheduled billing cycle. By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

    1. I agree.
22. Electronic Signature*
24. City of Kingsford

    305 S Carpenter Avenue, Kingsford, Michigan 49802

    PH: (906)774-3526

    Fax: (906)774-7093

    The City of Kingsford Website

26. This Institution is an Equal Opportunity Provider and Employer

Leave This Blank:


28. 1. Receive an email copy of this form.
29. Email address

    This field is not part of the form submission.

30. Submit

* indicates a required field