Welcome to the Summer Village of Seba Beach Snow Removal Set up Form

See attached for the liability waiver

Send Form to:

*Full Name

*Property Address

*Phone number

*Email Address

*Please select your preferred snow removal option (check one):

Every Snowfall ( $25.00/ Clearing)

Substantial snowfalls only ($25.00/clearing)

Call-in service (3 to 4 days’ notice required) ($25.00/clearing)

If applicable, a seasonal snow clearing budget cap of $150.00 is available for seniors. Are you 65 or older and can provide proof if asked
Yes	No

Do you understand that you will be billed at the end of season, and payment is due within 30 days of being invoiced.
Yes	No

Do you understand that snow removal will be completed based on the frequency I have selected above.
Yes	No

I agree that I will not push snow from my property onto the roads.
Yes	No

I agree to remove vehicles and equipment from my driveway during snow clearing.
Yes	No

I agree that I will place snow on the right-hand side of my driveway, as instructed by the Village.
Yes	No

I have fully read, and agree/approve to the attached waiver. By checking yes I understand that is me digitally signing
Yes	No

*Verification

Completely Automated Public Turing test to tell Computers and Humans Apart

* Denotes Required Fields

This form requries manual input. Do not use form fill or G fill.

Contact Information
Phone: 780.797.3863	Fax: 587.305.0103
Located:	Mailing Address:
140 - 3 Street South, Seba Beach	Box 190, Seba Beach, Alberta, T0E 2B0
Email: villageoffice@sebabeach.ca

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