FormBuilder

Welcome

Please complete the form below to reserve your St. Marys Money. It is available in denominations of $5, $10 and $20. We will try to honour all specific denomination requests but may not be able to as quantities fluctuate.

For corporate requests, please contact Economic Development and Tourism Manager Kelly Deeks-Johnson at 519-284-2340, ext. 272.

Pick-ups can only be made during regular business hours. Hours of operation for Town Hall and the Municipal Operations Centre are Monday to Friday, 8:30 a.m. to 4:30 p.m. Please ring the door bell for service at each facility.

Once received, please treat your St. Marys Money as cash. It cannot be replaced if lost or stolen.

Due to the community-building nature of this initiative, we respectfully ask collectors and those looking to keep money as a momento not to purchase.

Thank you for supporting St. Marys businesses!

Name of person picking up:

Phone number:

Email address (if applicable):

Business name (if applicable):

Amount requested (must be multiples of ten or five):

Do you have a preference in denominations provided?

Yes

If you answered yes, please specify your requested denominations:

Upon pickup, I will pay by:

Debit

Cash

Cheque

Pickup day:

Pickup location:

Town Hall (175 Queen Street East)

Municipal Operations Centre (408 James Street South)

Preferred pickup time (must be between 8:30 a.m. and 4:30 p.m.):