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Automatic Payment Authorization/Termination

  1. Note: Please attach a voided check to this sheet. The payment will be drafted on the bill due date. If there are any questions call (832)595-3400.

  2. Financial Branch Information

  3. Note: Please note termination of automated bank draft form must be submitted seven (7) business days prior to the utility bill due date to prevent from drafting your bank account. If there are any questions, call (832)595-3400.

  4. Utility Account Information
  5. Electronic Signature Agreement
    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.
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  7. This field is not part of the form submission.