Automatic Bank Draft Form

Complete the following fields to start taking your electric bill out of your checking or savings account:

Name(Required)

First Last

Phone(Required)

Email(Required)

Address(Required)

Street Address Address Line 2 City State ZIP Code

SCAEC Account Number(Required)

Bank Account Type(Required)

Checking

Savings

Three

Bank Account Number(Required)

Bank Account Name(Required)

Financial Institution Name / Name of Bank(Required)

Bank City(Required)

Bank Routing Number(Required)

Member Electronic Signature (Full Name)(Required)

Name

This field is for validation purposes and should be left unchanged.