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Authorization for Automatic Draft Payment

Your payments will be automatically deducted on the 20th of each month (or the first business day after the 20th) from your checking account at no charge. Please fill out the information below and return it to the Mammoth Community Water District.

I (we) hereby authorize Mammoth Community Water District, hereinafter called COMPANY, to initiate debit entries to my (our) checking account and the depository institution named below, hereinafter called DEPOSITORY, for the amount due on my (our) water/wastewater bill.

This Authority is to remain in full force and effect until Company has received written notification from me (or either of us) of its termination in such time and in such manner as to afford Company and Depository a reasonable opportunity to act on it.

Consistent with California’s Uniform Electronic Transactions Act (Cal. Civ. Code, §1633.1, et seq., and any other applicable law), by submitting this form with your electronic signature, you understand and agree that you are entering into a binding agreement with the District, and that your electronic signature is the same as your handwritten signature for the purposes of validity, enforceability, and admissibility of your signature and the agreement to which it is applied.

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