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ECCV Water & Sanitation District
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Set Up Recurring Payments

 

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6201 S. Gun Club Rd • Aurora, CO 80016
Phone: (303) 693-3800 • Fax: (303) 699-6058


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To activate your Monthly Recurring Billing Option please select a payment option and complete the required payment details.
 



Payment Type:Checking or Savings Account(ACH) Credit Card

Option 1 Request:
(Automatic Monthly deduct amount of current bill from your Checking Account)

Name of Bank  
ABA/Routing # (First number at bottom of check)
Checking Account Number (Second number at bottom of check)
Account Name (From your bill)
Utility Account No. (From your bill)
Phone No.  
Email Address  

Option 2 Request:
(Automatic Monthly deduct amount of current bill from your Credit Card/Debit Card)

Card Type: Visa
MasterCard
Discover
 
Credit Card #  
Expiration Date  
Card Holder Name (exactly as it appears on the card)
Security Code    (three digits on back of card)
Account Name (From your bill)
Utility Account No. (From your bill)
Phone No.  
Email Address  

I (we) hereby authorize East Cherry Creek Valley Water & Sanitation District to automatically withdraw from my Bank Account or Credit Card the amount the current amount due at the time of debit and to make bank deposits if necessary for error correction. I authorize the Financial Institution named above to accept such transactions initiated by East Cherry Creek Valley Water & Sanitation District. Deductions will be made 2 business days prior to the designated due date. I am aware of my right to stop a withdrawal by notifying East Cherry Creek Valley Water & Sanitation District  at any time up to three (3) business days before the withdrawal date. If an erroneous withdrawal occurs and I notify the Financial Institution of the error within 60 days of the issuance of my account statement, the institution must investigate and resolve the error within 45 days of notification. If the error is not resolved within the first 10 business days following receipt of my notification, my account shall be recredited for the amount in question until the investigation is completed. (Condensed for Regulation E, Electronic Fund Transfer Act for the consumer's protection. For more information, contact your Financial Institution.)

By sending in this request to activate your Monthly Recurring Billing you are agreeing to the above terms. 
   

Full Name:

I Agree