PerrySpencer2022

PSC E-Z Pay

Never miss a bill payment again. e Z pay

PAY-BY-PHONE 1-844-244-1502

ONLINE BILLING & AUTOMATIC BILL PAYMENTS

PSC e Z pay Authorization Form

AUTOMATIC BANK PAYMENT

PAY-BY-PHONE

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. I (We) authorize PSC to initiate entries to debit/charge my (our) banking account described on this form on the 14 th day of

Please Check the Applicable Account & attach requested check or slip with form & payment

PSC is excited to introduce a 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

Savings (attach deposit slip)

Checking (attach voided check)

Routing #

Account #

Financial Institution Name & Branch

Financial Institution Address

the 14 th , if it falls on a holiday or weekend). This authority is to remain in full force and

Applicable Credit Card for payment below

City

State Zip Code

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.

Billing # (Found on your PSC statement)

Full Name as shown on Checking/Savings Account

VIEW/PAY BILL ONLINE Simply access your statement and pay online at psci.smarthub.coop

OR

Signature

Date

Joint Account Full Name ( Optional)

Date

Joint Account Signature ( Optional)

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