New Enterprise REC

Auto Pay Enrollment Form

 

I authorize New Enterprise Rural Electric Cooperative, Inc. to withdraw my monthly electric bill payment from my checking or savings account listed below.  I understand that payments will be deducted from my account on the 20^th of each month (or the next business day if the 20^th falls on a Saturday, Sunday or holiday). 

 

  I agree to maintain sufficient funds in this account to complete the withdrawal.  Payments rejected due to insufficient funds are subject to New Enterprise REC’s normal non-sufficient funds check fee ($30.00).  

Also, two NSF draft notices will result in my termination from this program.  

 

This authority shall remain in effect until I provide New Enterprise REC with a written, signed termination letter.  Such letter must be presented to New Enterprise REC prior to the 1st of the month.  New Enterprise REC reserves the right to terminate this program at any time.  Participation is limited to consumer- members whose accounts are in good standing.

 

 

New Enterprise REC Account #'s :

 

Name:                                                                                     Daytime Phone #

 

Address:                                                                    City:                                               State:

 

Bank Name:                                             Bank Phone #                          Bank Account #

Withdraw payment from: (Indicate Checking or Savings)

Joint Name Signature:                                                                             Date:    

Account Name Signature:                                                                        Date:

 

PLEASE ATTACH A VOIDED CHECK WITH THIS FORM.