Name: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Email: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Cell Phone: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Alternate Phone: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Civic Address: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Mailing Address (if different from Civic Address): {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Tax Roll Number: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Please upload a copy of tax notice/bill: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding Name, mode=oneTime}

{binding Description}

Please Enter Amount Being Paid: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Payment Method: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{ binding displayValue, mode=oneTime }

PLEASE NOTE: if paying by e-transfer, please use etransfer@drumheller.ca, and within your e-transfer notes include a description of what you are paying along with your full name and phone number.

Please make cheques payable to Town of Drumheller.

Send cheques to:
Town of Drumheller
224 Centre Street
Drumheller, Alberta, T0J 0Y4

{~ Payment_Block_Label}

{binding Group}
{binding Name} - {binding Description}	{binding displayValue}
{{ Cognito.resources['payment-subtotal'] + ":" }}	{binding displayValue}
{binding Name}:	{binding displayValue}	---

{{ Cognito.resources['payment-amount-due'] + ":" }} {binding displayValue}

{{ Cognito.resources['order-number-label'] }}: {binding displayValue}

{{ Cognito.resources['order-date-label'] }}: {binding displayValue}

{{ Cognito.resources['order-method-label'] }}: {binding MethodReference}

{binding BillingName}

{binding BillingAddress.FullInternationalAddress}

{binding EmailAddress}

{binding Group}
{binding Name} - {binding Description}	{binding displayValue}
{{ Cognito.resources['payment-subtotal'] + ":" }}	{binding displayValue}
{{ Cognito.resources['order-total-label'] }}: {binding displayValue}

{{ Cognito.resources['order-number-label'] }}: {binding displayValue}

{{ Cognito.resources['order-date-label'] }}: {binding displayValue}

{{ Cognito.resources['order-method-label'] }}: {binding MethodReference}

{binding BillingName}

{binding BillingAddress.FullInternationalAddress}

{binding EmailAddress}

{binding Group}
{binding Name} - {binding Description}	{binding displayValue}
{{ Cognito.resources['payment-subtotal'] + ":" }}	{binding displayValue}
{{ Cognito.resources['order-total-label'] }}: {binding displayValue}

Name: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Email: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Cell Phone: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Alternate Phone: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Civic Address: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Mailing Address (if different from Civic Address): {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Tax Roll Number: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Please upload a copy of tax notice/bill: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding Name, mode=oneTime}

{binding Description}

Please Enter Amount Being Paid: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Payment Method: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

PLEASE NOTE: if paying by e-transfer, please use etransfer@drumheller.ca, and within your e-transfer notes include a description of what you are paying along with your full name and phone number.

Please make cheques payable to Town of Drumheller.

Send cheques to:
Town of Drumheller
224 Centre Street
Drumheller, Alberta, T0J 0Y4

{~ Payment_Block_Label}

{{ Cognito.resources['order-transaction-details-header'] }}

{{ Cognito.resources['order-billing-info-header'] }}

{{ Cognito.resources['order-transaction-details-header'] }}

{{ Cognito.resources['order-billing-info-header'] }}