I wish to have my payments withdrawn automatically from the above account.

Example:

I hereby authorize the financial institution I have named on this application to change the account I have specified for payment on my Redbank Valley Municipal Authority monthly invoice. I agree that such charge to my account shall be the same as if I had signed a check to pay my bill. I have the right to stop payment of a charge by notifying Redbank Valley Municipal Authority within 15 (fifteen) days of the due date of my bill. I may elect to discontinue my enrollment in this plan at any time.