Pre-Approved Payment Authorization-Water&Sewer

Pre-Authorized Payment Sign-Up

Water/Sewer Account Number 



Mailing Address 

Telephone: Home   Work 


Bank/Financial Institution 


Bank Account Number 

I authorize the Town of Bancroft to debt my account for the amount of my current bill on the due date  I agree.

Please email a copy of a VOID cheque to [email protected], or drop a VOID cheque off to the Municipal Office to COMPLETE your request. 

I understand this request will not be completed with out a VOID Cheque 

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