I hereby authorize Buena Vista Sanitation District to initiate debit entries to my Checking/Savings account indicated below at the depository (Bank or Credit Union) named below, to debit the same to such account for the purchase of paying the monthly sewer bill to Buena Vista Sanitation District.
Said debit to occur each month between the 18th and 21st of each month.
Please contact Buena Vista Sanitatio at 719-395-8095 to provide your account information.
I understand that if an erroneous debit is made to my account, Buena Vista Sanitation District and the financial institution are authorized to reverse the entry and make any adjustments necessary to my account to correct the erroneous entry. This authorization is to remain in full force and effect until I provide written notice to cease to the Buena Vista Sanitation District and the depository (Bank or Credit Union) institution has reasonable opportunity to act on it.
**BY CHOOSING THE ACH METHOD OF PAYMENT YOU WILL NOT RECEIVE A STATEMENT.