Thank you for choosing AutoFlow - the easy way to pay your water bills. Please follow the instructions listed below. If you have any questions or concerns please e-mail us or call us at 215-699-4836.

Step 1: Print out this page with the AutoFlow Application/Bank Draft Authorization on it.
Step 2: Complete the entire application, and please don't forget your signature.
Step 3: Attach a VOIDED check or savings account deposit slip to your completed application.
Step 4: Mail completed form & attachment to:

NWWA
Attn: AutoFlow
PO Box 1339
200 W. Walnut Street
North Wales, PA 19454-0339

OR drop off the information at our office.

Authorization for Bank Drafting

I authorize the North Wales Water Authority to debit my account for the amount of services billed on my water account.

I also authorize the financial institution identified below to debit the same amounts from my account.

PLEASE PRINT

Name__________________________

NWWA Customer Number___________________________

Billing Address__________________________________________________

City______________________ State__________ Zip Code__________

Phone_________________

Please check the appropriate item:

Bank__________ Credit Union__________ Savings & Loan__________

Checking (a copy of my voided check is attached)__________

Savings (a copy of my deposit slip is attached)__________

Account Number _____________________________________________

Customer Signature________________________

Date____________

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