Service Information
We the undersigned in consideration of the mutual covenants and agreements herein contained do contract and agree with each other as follows:
Billing Information
By signing below, I authorize Pioneer Electric Cooperative to draft the stated bank account for the above listed account(s). I understand that it usually takes two billing periods to set up this draft with the bank and that I may need to make the next payment as usual.
By signing below, I attest that I have read and understand this application and its attachments.
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