Town of Whitchurch Stouffville Bulk Water Application

Please fill out this application create a new bulk water account.

I/we hereby apply for permission to use the Bulk Water Station Located at 120 Ringwood Dr. I/we accept full responsibility for the safe keeping of the Operator Number provided and agree to pay all charges incurred by that Operator Number.

I/we understand that payment is required prior to use of the Bulk Water Station and account(s) must be kepy with a balance to continue use.

The vehicles listed are currently in service and I/we agree to advise the Town of Whitchurch-Stouffville of any changes to our fleet compliment.

Personal information contained in this form is collected under the authority of the Town and will be used for the purpose of applying for a bulk water account. Questions about this collection should be directed to the Manager of Customer Service, Town of Whitchurch-Stouffville, 111 Sandiford Drive, Stouffville, ON L4A 0Z8 (905) 640-1910 or 1-855-642-8697.