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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.

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

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

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Email the completed form to sherry@carrollscreekwater.com

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