Bank Draft Registration

Sign up now for bank draft registration. Payment by bank draft can prevent late fees, non-payment fees and disconnection of service. Simply fill out the form below. You can also print our application and submit it with a voided check by clicking here.

Please note:

• Bank Drafts will occur on the 15th of every month.
• A $25 fee will be charged if a draft returns for insufficient funds

Name (as it appears on account):

Account Number (as it appears on bill):

Service Address - Street:

Service Address - City, State Zip

Phone Number

Email Address

Bank Routing Number

Bank Account Number