Water Payment Plan

City Hall | 300 E 9 Mile | 248-546-2374 | waterbilling@ferndalemi.gov

Account #

Phone Number

Plan Amount Requested

6 Months

9 Months

12 Months

Other (If terms requested are longer than 12 months, requester must also contact department directly at waterbilling@ferndalemi.gov)

I recognize that my utility bill is delinquent and have committed to the payment arrangement outlined above. I understand that if the payment arrangement terms above are not met, my utility account will revert back to delinquent status and will be subject to deliquent penalties and/or administration fees

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I agree to electronically sign and to create a legally binding contract between the other party and myself, or the entity I am authorized to represent.