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Automatic Bank Draft Form
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Automatic Bank Draft Form
Account Type
Personal
Business
Business Name
(Required)
Name
(Required)
Your name as shown on electric bill
First
Last
Checking Account Number
(Required)
Name of Bank and Branch
(Required)
E-mail address
(Required)
Do you want a paperless-statement?
Yes
No
Depositor's signature
(Required)
I authorize Appalachian Electric Cooperative to debit my bank account monthly by Automated Clearing House for the amount of my electric bill, due and payable to Appalachian Electric Cooperative.
I further agree that AEC shall be under no obligation to furnish me with any special advice or notice in writing or otherwise of the charging of same to my account.
Until AEC receives my revocation of this authorization in writing, I agree that AEC shall be fully protected in honoring any such electronic debit to my account.
*If choosing paperless option please include e-mail address for $1 a month credit on your bill.
AEC is an equal opportunity provider and employer
I hereby authorize my elecric bill to be paid by my bank
Phone Number
(Required)
Date (MM/DD/YYYY)
(Required)
Month
Day
Year
AEC Account Number
(Required)
Please provide to AEC a voided check on the account to be drafted
(Required)
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Note to bank:
If the information on this form does not agree with your records, or if the arrangement is not in keeping with your procedures, please contact Appalachian Electric Cooperative, P. O. Box 710, Jefferson City, TN 37760. Telephone:
Jefferson & Sevier Counties:
(865) 475-2032
ext. 1107
Grainger County:
(865) 828-5225
Hamblen County:
(423) 586-4755
All information submitted in this form has AES-256 encryption to protect your personal information.
Comments
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Account Login
Pay My Bill
New Service
Outage Center
Careers
Fiber
Contact Us
Your Account
Account Login
Pay My Bill
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New Service
Move/Disconnect Service
Retail Electric Rates
Lower My Bill
About Us
Who We Are
Board of Directors
Elections
Annual Meeting
News
Co-op Votes
Principals & Policies
Careers
Staff Directory
Contact Us
Outages & Safety
Outage Center
Electric Safety
Generator Safety
Call Before You Dig
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Products
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