Budget Billing Registration Form

Sign up today for the Budget Billing Program!

Budget billing is a free service that averages the highs and lows of your utility bills to give you an average amount to pay each month. Depending on the time of year, weather can cause your bill to change dramatically. Budget billing is a free service that eliminates those extreme peaks by leveling out your payment, so you pay roughly the same amount year-round. Some months you will pay less than your actual bill and some months you will pay more to make up that difference.

Eligibility

Residents must have been at their current residence and have a zero balance at the time of enrollment over the previous 12 months.
If any payment is returned as insufficient, the participant will be removed from the program, and the outstanding balance on the account will be due.
Resident's account must enroll / or be enrolled in ebilling (electronic billing via email).
If account is assessed a nonpayment service fee due to nonpayment on account, the participant will be removed from the program, and the outstanding balance on the account will be due.
This program is only available for residential accounts, not commercial.
Renewal of budget billing membership is automatic.
To be removed from the program, please email the Utility Billing Customer Service Manager.

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Customer Information

Last Name: *

First Name: *

Phone: *

Secondary Customer Name:

Service Address *

City *

State *

Zip *

Email Address *

Billing Authorization

I (we) hereby authorize The City of Corinth Utility Billing Department to enroll my (our) utility account in the Budget Billing program. I acknowledge that re-enrollment is automatic each March. I understand that upon Settlement of Accounts in March each year, any outstanding balance will become due and any credit in the program on my account will remain going into the upcoming year's enrollment.
I (we) hereby authorize the City of Corinth Utility Billing Department to initiate electronic utility bills via e-mail for the account listed above. I acknowledge that it is my responsibility to notify the City of any changes in email addresses. Failure to receive a statement or update e-mail addresses does not exempt me from the responsibility to make payment. I understand that by approving this service I will no longer receive a mailed statement.

Agreement *

I (we) accept and understand the requirements of participation in the Budget Billing program.

Receive an email copy of this form.