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 amount against my Checking account listed below on the 25th of the billing month for Residential Accounts and on the 10th of the month for Commercial Accounts. If it is a weekend or Holiday, then it will be processed on the next business day.***** IT DOES TAKE APPROXIMATELY 4-6 WEEKS TO SET UP A DRAFT AUTHORIZATION IN THE SYSTEM ***** Submit