Although this form is in English, it is mandatory to fill in all details in Hebrew.
If you wish to receive your water invoice via email only, you will need to submit this online form. For all other subjects, please submit the
contact form.
Please note:
1) To get your water bill via email, it is mandatory to check the box "I would like to receive a water bill to my email address" and to mark that you have read the statement below.
2) The fields marked with (*) are required fields
Written Statement of Consent and Commitment
I agree that the information I provided in this form will be entered in the databases of the Modiin Water Corporation only and will not be transferred to another external party. I am aware that I have no legal obligation to provide this data and its delivery is at my sole discretion. I am aware that I must update the corporation in the event of a change in my email address. I hereby agree that "Modiin Water Corporation" will send my water bills to my email address instead of to my mail address. The emails sent by the corporation will be secure and maintain the confidentiality of the information contained therein. It is my responsibility to maintain the privacy of my private email inbox. I know and I agree that receipt of invoices to my email box will be considered as receipt by me for all intents and purposes, including for collection purposes in case of non-payment.
