Common Contracts

1 similar Authorization Agreement for Direct Payments contracts

Contract
Authorization Agreement for Direct Payments • October 22nd, 2009

Complete the authorization form below and return it with payment to the City of Titusville City Services Department, 107 N Franklin St Titusville, PA 16354. Once enrolled, you will continue to receive a regular City Services statement with a notation that Auto Pay is in effect. We must receive a copy of a check to enroll your bank account in to the program.

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