Rain Barrel Purchase Form

Contact Information

Order Information

Please enter a valid address If you live in a suite, use a comma (eg. 1234, 400 MAIN ST SE, AIRDRIE, AB)

$55.00

Credit card
Visa Debit card

Credit & Debit

Disclaimer: The City of Airdrie does not collect or store any credit card, VISA debit card or Interac card information entered into this payment form. All payments are processed directly through Bambora (a payment processing company). View Bambora's privacy policy or information on how your data is kept secure.

Agreement

I acknowledge that [by displaying/typing my name above], I am signing this application, and I agree to be bound as if I had endorsed this document with my own handwritten signature. I understand that checking this box forms an agreement with the City of Airdrie.

FOIP

The information on this form is collected under the authority of Section 33(c) of the Freedom of Information and Protection of Privacy Act ("the Act") and will be used solely for administering the rain barrel sale program. It will be treated in accordance with the privacy protection provisions of Part 2 of the Act. Questions concerning collection of this information can be directed to Water Services at 15 East Lake Hill NE, Airdrie, Alberta T4A 2K3 or at 403.948.8800.