Automatic Bank Draft

Advance notice of payment

We offer four different payment cycles in each month. You can choose the billing and payment cycle that better fits your needs. You will receive an invoice each month, then you will have 20 days to contact our office if you have any questions. Electronic transfers are made on your choice of one the four payment cycles offered.

Reliable and Consistent Service

Even when you are out of town your electric bill and/or fiber bill will be automatically paid. You won't have to worry about your payment getting lost or delayed in the mail.

FREE

This service is free of charge. To sign up, fill out the authorization forms below.

Service Type*

Please Specify

Name

First*

Last*

Phone Number

Account Number (if known)

Address

Street Address**

Other Address (optional)

City*

Banking Info

Bank Name

Bank Address

Street Address

City*

State

Please Specify

Bank Phone Number

Select Account*

Please Specify

Banking Account Number*

Bank Routing Number*

State*

Please Specify

Bank Draft Date*

1st 5th 12th 19th

Please Specify

I also approve Lake Region to set-up paperless billing for my account. *

Yes No

Signature *

Send

Download Bank Draft Form

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Automatic Bank Draft

Name

Address

Banking Info

Bank Address

Employee Login

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Forgot your password?
Enter your email address and we will send you a password reset link.