Forum North · Private Bag 9023 · Whangarei · 0140 · New Zealand Telephone: (09) 430 4200 · 0800 WDC INFO · 0800 932 463 · Facsimile: (09) 438 7632 Website: http://www.wdc.govt.nz · E-mail: mailroom@wdc.govt.nz
WHANGAREI DISTRICT COUNCIL
Credit Card Payments
Please contact us by: Telephone Fax or mail to +64 9 430 4200 +64 9 438 7632 Whangarei District Council Private Bag 9023
Whangarei 0140
New Zealand
Payment Date Card Type
Visa
Master Card
Card Number
Expiry Date Cardholder’s Name WDC Account Numbers
(or details of payment) Please
indicate if type of account e.g. Water
Total Amount Contact Phone Fax No E-mail address ¾¾¾¾¾¾¾¾¾¾¾¾¾¾¾¾¾¾¾¾¾¾¾¾¾¾¾¾¾¾¾¾¾¾¾¾¾¾¾¾¾¾¾¾¾¾¾¾¾¾¾¾¾¾¾¾¾¾¾¾¾¾¾¾¾¾¾¾
Office Use Only
Receipt Number Warning This form should not be emailed, your credit card details are not secure. We suggest you fax / mail the form or phone us with your details
06/334771