Checking Draft Authorization Agreement First Name *Last Name *Street AddressCityState/ProvinceZIP / Postal CodePhone Number *Utility Account NumberEmail AddressBilling PreferencePaper CopyE-BillPaper Copy and E-BillBank NameBank Routing #Account #*By checking this box, I authorize Duckett Creek Sanitary District to process a draft from my checking account listed above on the 25th of each billing month for Residential Accounts, and on the 10th of each month for Commercial Accounts.If the scheduled date falls on a weekend or holiday, the draft will be processed on the next business day.Please note: if the account number or other banking information provided is incorrect, the payment may be returned, and a $15.00 fee will be assessed to your Duckett Creek account.***** IT DOES TAKE APPROXIMATELY 4-6 WEEKS TO SET UP A DRAFT AUTHORIZATION IN THE SYSTEM ***** Submit
