Common Contracts
1 similar Automatic Bank Draft Authorization Agreement contracts
Attach voided check or deposit slip here when mailingAutomatic Bank Draft Authorization Agreement • June 14th, 2016
Please complete the entire form (all fields are required). For checking account payments, please attach a voided check (not a deposit slip). For savings account payments, please attach a voided deposit slip (if available). Print out, sign and mail this form and the above attachment to:New Mexico Gas CompanyP.O. Box 97500 BC 28Albuquerque, NM 87199-7500 Automatic Bank Draft Authorization AgreementIMPORTANT - Please reviewI authorize the named financial institution to make deductions from my account for payment of my New Mexico Gas Company bill. I understand that I can discontinue participation in the Automatic Bank Draft program by calling the New Mexico Gas Company at the telephone number listed on my bill. I also understand that the monthly withdrawal will take place RQ the due date RI the current bill. Name of your bank, savings and loan, or credit union Routing number— 9 digits Routing # Account # Account number Your name(as shown on financial institution records) C
