Automatic Payment Registration and Change Form with Basic Payment and Equal Payment Plan options
Fill in and submit this form to register or change your information for automatic payment(pre-authorized debit) from your bank account.
You will have two options for deductions:
1. Basic Payment Plan - The full amount of your bill will be deducted from your bank account on the due date of your bill
2. Equal Payment Plan - The same amount will be deducted from your bank account every month on the date you select
Fields marked with an asterisk(*) must be completed