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: *****Please include a voided check or canceled check from the above account. CITY OF XXXXX WATERWORKS SYSTEM SERVICE APPLICATION AND AGREEMENT P. O. BOX 1105 000 XXXXXXX XXXXX XX XXXXX, TEXAS 75691 PHONE - 000 000-0000 / FAX - 000 000-0000 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: NOTICE If the Customer/Owner fails to comply with the terms of the Service Agreement, the Water Company shall, at its option, either terminate service or properly install, test and maintain an appropriate backflow prevention device at the service connection. Any expenses associated with the enforcement of this Agreement shall be billed to the Customer/Owner. Billing is processed and mailed on the last day of the month. Charges are due by the 15th of each month. Failure to pay the billed amount by the 15th of each month shall result in a 10% penalty being assessed. Failure to pay the total amount billed before the 25th of each month shall result in a $30.00 late fee being assessed to the account and the account will be scheduled for disconnection. ***** TAMPERING WITH A CITY WATER METER IS A CRIME AND PUNISHABLE BY LAW. VIOLATORS WILL BE PROSECUTED ***** PLEASE NOTIFY US IF YOU MOVE OUT SO THAT YOU MAY RECEIVE PART OF YOUR DEPOSIT BACK. FAILURE TO NOTIF...