Authorization for Auto Draft ACH

By completing this form you are authorizing SWA to automatically draft the full balance of any future bill issued to you from your bank account on the due date.  You must pay your current bill by check, cash, or via the online portal and the autopay will take effect on the next billing cycle. This request must be received by the 10th of the month to take effect for your next bill. Additionally, a voided copy of your check must be submitted via the upload option at the bottom of this form to complete the request.  This agreement will remain valid until written notice of any change or cancelation is received in our office.

Customer / Service Address Information
Service Address
Mailing Address

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