ACH Agreement Form

Note:

You will continue to receive a monthly billing from the district. The District continues to send this bill so you, the customer, will be able to keep track of your water consumption and minimize any leaks which may occur. The ACH Transaction will be submitted on or about the 30th of the month, depending on weekends and holidays, in this case the day before or after.

Customer Information
Banking Information
I acknowledge that the origination of the ACH transaction to my account must comply with provisions of U.S. Law. This authority is to remain in full force and effect until written notice of my intention to terminate this agreement (30 days notice is required) has been provided.
Files must be less than 2 MB.
Allowed file types: gif jpg jpeg png.