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BANK DRAFT CANCELLATION FORM

Please fill out all required fields below, including your Full Name, Water Service Account Number, and the Bank Name currently on file.

Please submit this form by the 13th of the month to avoid the scheduled bank draft.

After cancellation, you are responsible for paying your monthly bill via check, cash, or our online portal to avoid service interruption.

Email the completed form to sherry@carrollscreekwater.com

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