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Electronic Funds Transfer
This is my (our) authorization to my bank, named below, to deduct from my checking or savings account (specified below) and pay to Withlacoochee River Electric Cooperative, Inc., (WREC) the amount of my monthly electric service bills. This authorization shall continue until written notice of cancellation is received by either the bank or Withlacoochee River Electric in such time as to afford a reasonable opportunity to act on it.
WREC member I.D. number
Name as it appears on WREC bill
Name as it appears on your bank account
Checking Account No. Savings Account No.
Bank name Branch
Bank's mailing address
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