Use this form to sign up for our popular automatic bank draft program and never write a check to pay your CPW bill!
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Print the Bank Draft Program Authorization form below
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Fax the completed form to 864-984-5356 or mail to:
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Laurens Commission of Public Works
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P.O. Box 349
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Laurens, SC 29360
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Bank Draft Program Authorization
I authorize the Laurens Commission of Public Works to deduct my bill payments from my bank account. I understand that if at any time I decide to discontinue this payment service I will notify the Laurens Commission of Public Works. The Bank Draft program is a free service provided by the Laurens Commission of Public Works.
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| Date: |
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| Customer Information |
| Name |
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| Service address |
| Street |
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| City |
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| State |
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| Zip Code |
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| Mailing address (if different from above) |
| Street |
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| City |
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| State |
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| Zip Code |
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| Telephone |
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| Type of account to be drafted (Please circle one.) |
| Checking Savings |
| LCPW Account Number |
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NOTE: Be sure to attach the appropriate voided item for the type of account to be drafted. (check for checking account; deposit/withdrawal slip for savings account).
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