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ACH Form

Go Green with ACH Payments

AUTHORIZATION FOR AUTOMATIC BILL PAYMENT PLAN

I authorize DS&O Electric Cooperative, Inc. and the finanical institution named below to deduct the amount of my monthly energy bill from the account identified below. I understand my automatic payment will be deducted on the due date shown on each monthly statement. I have the right to stop the deduction by contacting DS&O Electric Cooperative, inc. at 1-800-376-3533, or by contacting my financial institution at least three business days prior to the payment due date.

Enter your name is it appears on your monthly billing statement.
Enter your account number as it appears on your monthly billing statement.
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