Pay Utilities Online – City of La Villa

Online Bill Pay Registration Form

The City of La Villa is excited to now offer the option to pay your monthly billing statement online! After completing this form, along with receiving your monthly billing statement via regular mail, you will also receive it at the email address provided. This email will include your statement and offer an option to pay it online using either a credit/debit card or bank transfer via a third-party merchant. Remember, as a service to our community, you always have the option to pay in-person or over the phone. If you have any questions, please contact City Hall at (956) 262-2122. Thank you.

Name -as it appears on your monthly billing statement

First

Middle

Last

Physical Address -where you receive services

Physical Address

City

Zip

Is your mailing address the same as your physical address?

Yes

Mailing Address -where you receive your monthly billing statement

Mailing Address

City

Zip

Required to setup online bill pay.

Phone Number

Required to setup online bill pay.

Account Number -if known

Optional

Terms and Conditions Acknowledgement

I hereby acknowledge I am the primary account holder or have been given authority by the primary account holder to submit my/their account information to the City of La Villa in order to setup online bill pay for my water/sewage/trash services. I also acknowledge the information provided above is a true and accurate reflection of the services I currently receive or will receive with the City of La Villa. I also authorize the City of La Villa to use this information to setup online bill pay and consent to receive my monthly water statement to the email address provided with the ability to pay online using a third-party merchant service. I understand I have the right to cancel the online bill pay feature at any time by contacting the City of La Villa City Hall. I further agree to not hold the City of La Villa, its employees, or representatives liable for any damages which may occur by using this online bill pay feature. I further acknowledge the third-party merchant has their own terms and conditions of which I must agree to in order to use this service. Checking this box affirms my agreement to these terms and conditions.

Name of person completing this form if not the primary account holder

First

Last

Signature

Clear

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"Small City with a Big Heart"

Online Bill Pay Registration Form