PO BOX 259
700 Farnsworth Road
Waterville, OH 43566


Phone: (419) 878-4972
Fax: (419) 878-7780

IN CASE OF EMERGENCY
CALL 419-878-4972



Bank Auto Pay Form


Gas Company  
Account Number  
Your Name  
Service Address  
Phone Number  
Email Address  
Date to Begin  
Withdrawal  
Bank Name  
Bank Routing #  
Bank Account #  
PLEASE VERIFY THAT ROUTING AND ACCOUNT NUMBERS
ARE CORRECT BEFORE SUBMITTING
The nine-digit routing transit number of your financial institution and your checking or savings account number (which may be as long as 17 digits). These numbers can be found on the face of your checks (see below) or by contacting your financial institution.
The nine-digit routing transit number is highlighted in green.
The account number is highlighted in orange.
AND HAVE VERIFIED THAT ROUTING & ACCOUNT NUMBERS ENTERED ARE CORRECT.