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.

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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