Planning Registered Agreement Fee

Name *

First

Last

Email *

Phone

Address *

Address Line 1

Address Line 2

City

AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukonProvince

Postal Code

Is the property of the agreement different than the address provided above? *

• Yes
• No

Provide property address for agreement *

Address Line 1

Address Line 2

City

AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukonProvince

Postal Code

Type of Agreement or File Number *

Agreement Preperation Fee

Price: $899.00

Convenience fee

Price: $15.73

The Township charges a convenience fee of 1.75% for all online transactions

Total

$0.00

Stripe Credit Card *

Card

Name on Card

Submit

Personal information on this form is collected under the legal authority of the Municipal Act, S.O. 2001, c.25 as amended. The information is collected and maintained for the purpose of creating a record pursuant to Section 27 of the Municipal Freedom of Information and Protection of Privacy Act. Questions about this collection should be directed to the Clerk’s Office. 519-763-1226 ext. 5.

The Township of Puslinch is committed to providing accessible formats and communication supports for people with a disability. If another format would work better for you, please contact the Township Clerk’s office for assistance.