MUA Direct Debit

Monroe Municipal Utilities Authority

Automated Clearing House (ACH) Authorization Agreement

I/We authorize Monroe MUA to initiate debit entries and to initiate, if necessary, credit and adjustments for any debit entries in error to my/our account at the Financial Institution indicated below. I/We understand that there will be a $25.00 charge for any insufficient fund transactions.

Either mail or fax this completed form to:

Monroe MUA Billing Department
372 South Main Street
Williamstown, NJ 08094

Fax: (856) 875-9469

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