Cancellation of Bank Draft
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I authorize Mallory Valley Utility District to stop the automatic bank draft of the following account:
Mallory Valley Account Number
Name of Bank
Bank Account Number
The automatic bank draft will be stopped before this account is drafted for the next billing cycle. This institution is an equal opportunity provider, and employer.
I agree to electronically sign and to create a legally binding contract between the other party and myself, or the entity I am authroized to represent.
I agree to Municipal Forms