The City of Charlevoix now has a automatic
payment plan for your utility bill. Each month your bill will
be automatically deducted from your checking or savings account
on the date its due, normally the 18th of each month. The plan
is quick, simple, helps you avoid any penalties and it's free!
To participate in the automatic payment plan, simply fill out
the form below and return it to us with a voided check with your
bank ABA routing number on it.
Name: ________________________________________________________
Address: ______________________________________________________
City: State: Zip: _________________________
________ ______________
Daytime Phone#: _(____)______________
Utility Account Number(s): ___________________________
_______________________
______________________ ___________________________ _______________________
Your Financial Institution Information:
Name of Bank or Credit Union: ____________________________________________
Account #: _________________________________________
Type of Account:________________________ (Checking or savings):
ABA Routing Number:______________________________________
(9 digit# on bottom of your check)
(This information may also be obtained from your financial institution.)
Authorization:
I authorize the City of Charlevoix to deduct my utility bill payment
from my checking or savings account shown above. I am the owner
of the account listed and I also authorize any necessary adjustments
that may be required. I may discontinue payments at any time by
notifying the City of Charlevoix in writing.
Signature: ________________________ Date:_____________
Please allow at least 30 days for withdrawals to begin.
Mail to: City of Charlevoix
210 State Street
Charlevoix, MI 49720
Questions? Call us at 231/547-3259