Auto Payment Enrollment

Automatic payments will not begin until the next billing cycle.

*Automatic payment will be debited on the due date (approximately the 15th of each month)

Please call the District Office at (760) 868-1212 for the exact start date and for additional information.

All past due balances must be paid in full in order for automatic payments to commence.
Service Address:
Financial Institution Name
Phone Number (Required)
Email (Required)
Customer Name(s):
PPHCSD Account #
Bank Account
Credit Card - I am aware a $2 convenience fee will be added for this option
OR
Routing Number
Repeat Routing Number
Bank Account Number
Repeat Bank Account Number
I
:
I
:
Credit Card Number Number
Expiration
Automatic Payment Authorization (please read then agree by checking the box - REQUIRED)
Automatic Payment - Past Due Balances
EBilling (recommended)
Checking
Savings
Account type:
Click for new image
Payment Type (select only one)
I authorize Phelan Piņon Hills Community Services District (PPHCSD) to collect payment of my water bill by initiating debit entries (deductions) to the bank account or credit card indicated above. I understand that this authorization will remain in effect until I cancel it in writing or PPHCSD has cause to cancel it. I agree to notify PPHCSD in writing of any changes in my account information or termination of this authorization at least 15 days prior to the next billing date. If the periodic payment date falls on a weekend or holiday, I understand that the payment may be executed on the next business day. I understand that because this is an electronic transaction, these funds may be withdrawn from my account as soon as the noted periodic transaction date. I understand that if there are insufficient funds in my account on the day of the withdrawal, a Non-Sufficient Funds (NSF) charge of $30.00 will apply. In addition, my account will be considered past due and late penalties will apply. I acknowledge that the origination of ACH transactions to my account must comply with the provisions of U.S. law. I agree not to dispute this recurring billing with my bank so long as the transactions correspond to the terms indicated in this authorization form. I understand that automatic payments will not begin until the next billing cycle.
I understand accounts with a past due balance will not be enrolled in automatic payments. Please make sure all past due amounts have been paid in full before enrolling in automatic payments.
I request for an email copy of my bill to be sent to the email address I listed above
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