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Please REMOVE me from the Automatic Bill Payment Program:

* Required Fields

Date:Friday, November 27, 2015
Name as shown on utility account: *
Email: *
Mailing Address: * Unit # :
City: *
State: * Zip: *
* DayTime Phone: - -
* Seattle City Light Account(s):  -  - 
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* Seattle Public Utility Account(s):  -  - 
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I hereby authorize the City of Seattle to remove the utility account(s) listed above from the Automatic Bill Payment Program that regularly debits my checking account to pay my monthly utility bill. I understand that cancellation instructions may take several days to implement and that authorized withdrawals from my bank may occur prior to cancellation of my participation in the Automatic Bill Payment Program. I also understand that once removed, I will still be responsible for paying each bill I receive on or before the due date. By clicking on the "Submit" button I acknowledge that I am authorizing cancellation of my recurring payment(s) through this program. I understand that this request does not cancel any recurring payment I may be making through the City of Seattle's ELECTRONIC Billing and Payments, which is a different program.