PerrySpencer2021
PSC E-Z Pay
Never miss a bill payment again.
e Z pay e B ill
AUTOMATIC BILL PAYMENTS & NEW PAY-BY-PHONE
ONLINE BILLING
PSC e Z pay Authorization Form
AUTOMATIC BANK PAYMENT Please Check the Applicable Account and attach requested check or slip
I (We) authorize PSC to initiate entries to debit/charge my (our) banking account described on this form on the 14 th day of each month (or the first business day after the 14 th , if it falls on a holiday or weekend). This authority is to remain in full force and effect until PSC has received notification from me (us) revoking automatic payment. PSC E-Z Pay will be terminated in such time and manner as to afford PSC a reasonable opportunity to act on it. If you are authorizing your checking or savings account to be debited, please return this form with a voided blank check or savings deposit ticket.
NEW! PAY-BY-PHONE
PSC is excited to introduce a NEW Pay-By-Phone option (via debit or credit card) for paying your monthly bill. It’s simple and easy with no additional fee. Call and have your ACCOUNT NUMBER available 1-844-244-1502 Applicable Credit Card for payment below
Savings (attach deposit slip)
Checking (attach voided check)
Routing #
Account #
Financial Institution Name & Branch
Financial Institution Address
City
State Zip Code
Billing # (Found on your PSC statement)
Full Name as shown on Checking/Savings Account
Signature
Date
Joint Account Full Name ( Optional)
PLEASE RETURN FORM WITH YOUR PAYMENT
Date
Joint Account Signature ( Optional)
18
Made with FlippingBook - professional solution for displaying marketing and sales documents online