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Forms

Automatic Water Bill Deduction

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The Sea Ranch Water Company
Attn: Mary Condon
P.O. Box 16
The Sea Ranch, CA • 95497-0016
Fax: (707) 785-9756
E-Mail: mcondon@tsra.org

 
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Last Updated: 05/07/07
THE SEA RANCH WATER COMPANY
ELECTRONIC FUNDS TRANSFER SERVICE
You may pay your bi-monthly water bill using our Electronic Funds Transfer service. Members who participate in this service have their bi-monthly water bill automatically withdrawn from their checking account on or about the "due" date shown on their water statement.

If you would like to participate in this program, please complete the bottom portion of this form and return it to us with a voided blank check for your designated account. We will send you a letter confirming your participation. You will receive your regular water bill confirming the amount to be deducted from your bank account. Be sure to check your monthly statement for this transaction.

If you have any questions, please call Mary Condon at The Sea Ranch Water Company office at (707) 785-2411. Please mail this form to The Sea Ranch Water Company at P.O. Box 16, The Sea Ranch, CA 95497-0016 or use our FAX number (707) 785-3555.
ELECTRONIC FUNDS TRANSFER AUTHORIZATION FORM
I/We elect to have The Sea Ranch Water Company electronically debit my/our account with (name of bank) _________________________________ on or about 19 days after the billing period for my/our water bill, account # ________, for the property located in Unit _______ Block _______ Lot _______. My/Our signature/s on this form authorizes the transfer transaction. I/We have attached a voided blank check for the Water Company's use in obtaining the necessary account numbers to initiate this transfer.

This authorization is to remain in force until canceled by Customer. (Please allow adequate lead time for the set up or cancellation of this service.)

Name/s (please print) ______________________________________________

Signature/s ______________________________________________________

Mailing Address __________________________________________________

_______________________________________________________________

Day Phone Number ___________________________ Date ________________