Automatic Bank Draft Sample Clauses

Automatic Bank Draft. You may pay your monthly invoice through an automatic bank draft by completing our Bank Draft Authorization Form, which is available upon request.

Automatic Bank Draft. You may be able to pay your xxxx by automatic bank draft (ACH). Please contact us for the most up-to-date payment options.

Automatic Bank Draft. I authorize Tatum Water Works to begin deductions from my account with the financial institution named below in the amount of my monthly water xxxx. I understand that I may discontinue enrollment in ACH at any time by sending my request in writing to Xxxxx Water Works. I understand that as an ACH customer, I will continue to receive my monthly water xxxx for review only. I understand that both my financial institution and Xxxxx Water Works have the right to terminate this payment plan or my participation therein. I also understand that Tatum Water Works will not reimburse me for any fees charged by the bank for stop payments, non-sufficient funds, etc. Water Xxxx Account Number: Name: Street Address: City/State/Zip Code: Home Phone Number: Mobile Number: Email Address: Financial Institution Name: Financial Institution’s Phone: Account Routing Number: Account Number: Name(s) Appearing on Account: Type of Account: Savings Checking Signature: Date: P. O. BOX 1105 000 XXXXXXX XXXXX XX XXXXX, TEXAS 75691 EMAIL: xxxxxxxxxxx@xxxxx.xxxxx.xxx DATE APPLICANT’S NAME (print) BILLING ADDRESS PHONE NUMBER EMAIL ADDRESS SOCIAL SECURITY NUMBER: DRIVER LICENSE # PHYSICAL LOCATION RESIDENTIAL/COMMERICAL PROPERTY OWNER/RENTER SERVICES DESIRED WATER SEWER WATER TAP SEWER TAP EMPLOYER=S NAME & ADDRESS: EMPLOYER’S PHONE NUMBER CUSTOMER’S SIGNATURE: ***** TAMPERING WITH A CITY WATER METER IS A CRIME AND PUNISHABLE BY LAW. VIOLATORS WILL BE PROSECUTED ***** METER NUMBER: CURRENT METER READING PREVIOUS READING _ NEW ACCOUNT NUMBER PREVIOUS ACCOUNT NUMBER