Required fields are marked with asterisks (*)

Request for Pre-Payment of Energy Audit

Roll Number (example: 0911-912-010-11235-0000)

Property Address for Roll Number Entered (Municipal Address on Tax Bill)

Property Owner's First Name

Property Owner's Last Name

Phone Number:

Email Address:

By clicking "Accept" below, I confirm that I am submitting a Request of Pre-Payment of Energy Audit

Personal information collected from applications is collected under the authority of the Municipal Freedom of Information and Protection of Privacy Act, and will be used to determine eligibility. Questions about the collection of information should be directed to the Clerk at 217 Harper Road, Perth, ON, K7H 3C6 or by phone at 613-267-5353 ext. 123 or by email at clerk@tayvalleytwp.ca.

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