Pre-Authorized Payments

* Account Number:

PRE-AUTHORIZED CHEQUE (PAC) AUTHORIZATION
I/We, as the account holder(s), authorize Westario Power and my/our financial institution to debit my/our account, in the amounts and on the due dates specified on the utility bills issued by Westario Power.  Westario Power will, to the best of their ability, mail my/our bill sixteen days prior to the due date as pre-notification.
 
* Customer:
* Service Address:
Billing Address:
* Telephone:
Email:
 
* Bank Name:
* Branch Transit #:
* Type of Account:
* Bank Account Number:
 


By submitting this form to Westario Power, I/we acknowledge and accept the terms as detailed in the section PRE-AUTHORIZED CHEQUE (PAC) AUTHORIZATION above.

THIS AUTHORIZATION MAY BE CANCELLED AT ANY TIME UPON WRITTEN NOTICE BY ME/US.
 
 
Copyright 2007 by Westario Power