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SIGN UP FOR ELECTRONIC BILLS AND/OR AUTOMATIC PAYMENTS!! Let us make paying your water/sewer bill more convenient. The City offers you the ability to have your water/sewer bill automatically deducted from your checking or savings accounts, or pay using a credit card through the City of Kalispell’s website (www.kalispell.com). You may also choose to have it sent electronically to your email! It’s easy and it saves you time and money. There is no longer a need to write a check and send it to the City. Simply note the amount of the deduction in your checkbook, or follow the easy on- line instructions, and your bill is paid! This saves you time and postage. Sign up now! You will continue to receive a water/sewer bill either through the mail or electronically. If you choose to have your amount due automatically withdrawn from a bank account, we will withdraw your payment on the due date. The bill will state **BANK DRAFT** when it is in effect. If you wish to cancel your Auto-payment, you must call at least three days prior to your next withdrawal date. To choose to have your amount due automatically withdrawn from a bank account, complete the form below and return it with your water/sewer bill and payment by the due date. The automatic withdrawal will then be in effect for your next water/sewer bill. To pay by credit card through the City’s website, call (406) 758-7745 to set up a password. **AUTHORIZATION FOR E-BILLS AND/OR AUTOPAY** Water/Sewer Account Name & Address of Financial Institution Customer Name Telephone Service Routing Account Email *Checking Savings Signature of Account Holder(s) *You must enclose a voided check* I authorize the City of Kalispell to send my bills electronically to the email listed above. I authorize the City of Kalispell and the financial institution listed on this form to initiate electronic entry on the due date of my water/sewer bill on my account listed below. I understand this authority will remain in effect until I notify the City of Kalispell I wish to cancel. City of Kalispell Post Office Box 1997 - Kalispell, Montana 59903-1997 Telephone (406) 758-7701 Fax - (406) 758-7758 SIGN