Receive accounts via email

If you would like to elect to receive your MidCoast Water Services account via email, please complete and submit the form below:

Privacy: This information is required to process your request and will not be used for any other purpose without seeking your consent, or as required by law. Your application will be retained in Council’s Records Management System and disposed of in accordance with current legislation. Your personal information can be accessed and corrected at any time by contacting Council.

  *-Required
Name: *
Phone/mobile Number: *
Email: *
Confirm email: *
What is your relationship to this property?: Owner
Agent
Other
If other please specify:
Note: Information collected will only be used to process your email address request.
Bill Address Details
Account Number: *
Tip: This is a 10 digit number from your bill
Property Address: