Sign Up For Bank Draft

(New Customer)

Would you like to sign up for automatic bank draft?

If so, please fill out the form below.

After your fiber installation, your account will be setup to automatically draft out of your bank account.

Please Choose Your Preferred Contact Method(s) (If Needed to Contact Later):

Tombigbee Electric Account Number:

(Ex: 2xxxxx-1xxxxx). Location is the number that starts with "2," Customer is the number that starts with "1."

(Ex: 2xxxxx-1xxxxx)

Please upload a voided check or deposit slip below:

(Must be an image file)

Upload File
Upload supported file (Max 15MB)

If providing an image is unavailable, please complete the remainder of the form:

Please Agree to and Sign the Following:

Your Signature