City of Bay City, Texas Utility Billing Department


1901 Fifth St.


Authorization to Honor Bank Drafts

Water Department Account Information

Bank Account Information

Authorization to Automatically Draft Bank Account

Dear Sir:

I hereby grant permission for the City of Bay City to draft my bank account each month for the City Utility Bill.

Draw Type
I agree to electronically sign and to create a legally binding contract between the other party and myself, or the entity I am authorized to represent.