MOSSY HEAD WATER WORKS, INC
AUTHORIZATION AGREEMENT FOR DIRECT PAYMENTS
(ACH DEBITS)

Automatic Payment Service makes paying your water bill even easier. By enrolling in this new service your bill will be paid automatically after each billing period.

NO checks to write!

NO stamp for the return payment!
NO phone call to make!
NO worry about unpaid bills during vacations!
This convenient service can save you time and money!

HOW DOES IT WORK? Each billing period you will still receive your water bill statement, just as you do now. The difference is with Automatic Payment Service; our bill will be paid automatically from your checking account, the 5th of each month.

To Sign Up For Automatic Payment Service:

Complete the application form, and enclose it along with:
A blank check marked “VOID” and return them both to Mossy Head Water Works

Please do not send deposit slip. Allow approximately 3 to 4 weeks for Automatic Payment Service to be activated once MHWW has activated this service. (We can usually have your payment taken out the next month after you sign up)

If you need more information, please call our office at 850-892-6154, Monday through Friday 7:00 a.m. to 4:00 p.m. Mossy Head Water Works, Inc. 1485 Co Hwy 1087, DeFuniak Springs, Fl 32433)