E-Z Pay Application

Here's how it works!
With E-Z Pay your payment is automatically withdrawn from your checking account at the financial institution of your choice, twenty days from the billing date. You will receive a billing statement each month so you can make a proper entry in your check register. If you prefer, we can set you up on E-Notification and you will receive your bill through E-mail, eliminating a printed copy of your bill.

To sign up: print, complete and return this form along with a voided check.

Name

E-bill ____ Paper bill ____

I authorize my financial institution to pay my monthly water bill by charging each payment to the account specified by me (see voided check or deposit form). This authority is to remain in effect until revoked by me in writing. I have the right to stop payment of a charge up to three business days before the payment date.

Signature

*A handling fee of $15 will be assessed to your account in the event of non-sufficient funds.