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2. 
4. I want to:
   -- Select One --Go green and sign up for paperless billingChange the email address I receive my paperless bills atSwitch back to recieve paper bills by mail
6. Account Number (located on a bill or search -->)*
7. Find Your Account Number Now:
   Anytime Self Service - Utility Bill Search
9. First Name*
10. Last Name*
12. Billing Address*
13. Billing Address 2
15. City*
16. State*
17. Zip*
19. Email Address (address bills will be sent to)*
20. Phone Number*
24. Terms and Conditions
    I agree to provide the Town Collector’s Office an accurate email address for paperless billing of the municipal water and sewer charges as relevant to my account. I agree to notify the Town Collector’s Office of change in email address for paperless billing with the understanding that an address change will be implemented for all water and sewer bills following the date of the notice by more than 7 days. I accept that the paperless bill will be the sole means by which the Town Collector will notify me of charges due in this utility account. I acknowledge that any emailed bill notice issued to the address provided to the Town Collector is a valid and properly issued bill, and failure to receive it does not alter the obligation to make payment on time. Interest accrued to late balances will remain fully collectible in instances of failure to receive the emailed bill notice.
26. I have read, understand and acknowledge the above terms and conditions:*

    1. I Agree
30. Important Information:
    A representative from the Town Collector’s Office will confirm this enrollment by email. Your utility bills for water and sewer from the Town of Amherst will be emailed to you beginning on the date of that email UNLESS you OBJECT to the email confirmation as sent by the office within 24 hours. Please remember to inform the office of email address changes by repeating this enrollment or sending email to Collector@amherstma.gov.
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34. 1. Receive an email copy of this form.
35. Email address

    This field is not part of the form submission.

36. Submit

* indicates a required field