<form-template> <fields> <field type="text" subtype="text" required="true" label="Name" class="form-control text-input" name="text-1748365691575" value="Name"></field> <field type="text" subtype="text" required="true" label="Civic Address" class="form-control text-input" name="text-1748368391092" value="Civic Address"></field> <field type="text" subtype="text" required="true" label="Mailing Address" class="form-control text-input" name="text-1748365797500" value="Mailing Address"></field> <field type="text" subtype="text" required="true" label="Utility Account No." class="form-control text-input" name="text-1748365849445" value="Utility Account No."></field> <field type="text" subtype="text" required="true" label="Email Address" class="form-control text-input" name="text-1748365884820" value="Email Address"></field> <field type="text" subtype="text" required="true" label="Phone Number" class="form-control text-input" name="text-1748366057035" value="Phone Number"></field> <field type="paragraph" subtype="p" label="Ensure You Receive Your Utility Bill: Since Utility Bills are mass-emailed, it is possible your bill can end up in junkmail. Please ensure you are checking your junk folder periodically. If your e-bill is found in your junk folder, please mark the sender 'donotreply@townofbeausejour.com' as a 'safe sender' and move your e-bill to your inbox. This should prevent future bills going to junkmail." class="paragraph"></field> </fields> </form-template> Submit Submitting...