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Authorization Agreement for Automatic Bill Payment

With the Automatic Bill Payment Plan, payments are automatically posted to the member’s checking account or debit / credit card.  This is a free service. When on this plan, a monthly electric bill will be mailed to the member that states “Bank Draft - Do Not Pay” or “Credit Card - Do Not Pay.”  When the payment date falls on a weekend or holiday, the withdrawal will be processed on the following business day. {Form #75, 02/13/2015, kjg}

Personal Information

Select only one of the following automatic bill payment options - Checking Account  OR Debit/Credit Card. The necessary information, documentation and signatures must be provided.

Checking Account Information
*A voided or photocopy of the member’s check must be provided. *It may take up to 30 days for bank features to be effective for automatic bill payment.
Debit/Credit Card Information
The electric bill payment will be posted on the 3rd of each month.
Last 3-digit or 4-digit number on back side of debit / credit card
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