Residential Recurring Payment Authorization Form2019-04-11T16:55:06-07:00

RESIDENTIAL RECURRING PAYMENT AUTHORIZATION FORM

Schedule your payments to be automatically deducted from your bank account, or charged to your Visa, Master Card, American Express or Discover Card. Just complete and sign this form to get started!

On what day will my bank account be debited, and how will I know?

Credit Card – The quarterly sewer user fees will be charged to your credit card the first day of the month beginning the quarter (January, April, July, October). An email will be sent to you when your payment has been processed.

Checking/Savings Account – The quarterly residential user fees will be debited from your bank account no later than the 15th day of the month beginning the quarter (January, April, July, October). An email will be sent showing the payment will be debited from your bank account.

Fields marked with an * are required

  • Account

  • Example: 2 9641100
  • Select Your Payment Option Below

  • CHECKING/SAVINGS ACCOUNT
  • CREDIT CARD
  • This field is for validation purposes and should be left unchanged.