Bank Draft Form

Email Customer Service with any questions:
If you do not provide a voided check to verify the account/routing numbers, you are responsible for the information provided. Please make sure your information is legible and on the appropriate line.

By checking this box, I understand that this authorization will remain in effect until I cancel it in writing, and I agree to notify the City of Conway in writing of any changes in my account information or termination of this authorization. If the above noted periodic payment dates fall on a weekend or holiday, I understand that the payment may be executed on the next business day. Items returned unpaid (NSF, Closed Accounts, etc.) will be charged a $30 service charge. I acknowledge that the origination of ACH transactions to my account must comply with the provisions of U.S. law. I agree not to dispute this recurring billing with my bank so long as the transactions correspond to the terms indicated in this authorization form.