Memorial Villages Water Authority now offers automatic bank draft for payment of your monthly water and sewer bill. Allow 30 - 40 days to process.

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Name on your water bill:

Service Address:

Billing Address:

Phone Number:

Email Address:

Account Number:

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Bank Name:

Branch Address:

 Checking Account
  or
 Savings Account
Rounting Number:

Account Number:

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I authorize MEMORIAL VILLAGES WATER AUTHORITY to initiate variable monthly debit entries to my bank account. I further agree to contact MEMORIAL VILLAGES WATER AUTHORITY at least 5 days before the penalty date with any concerns to allow for corrections.

You will continue to receive a utility bill each month but do not pay - your account will be debited just prior to the penalty date. Failure to receive bill does not exempt you from your payment, late charges or disconnect/reconnect fees.

Check box to authorize.

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