Credit Card Draft Authorization

Please complete the form below, print and fax to: 770-683-3884
You may also mail to our office: Newnan Utilities Customer Service, 70 Sewell Road, Newnan, GA 30263
Customer Name:
Street Address:
City:
State: Zip:
Phone:
Newnan Utilities Account #
-
I authorize Newnan Utilities to draft my credit card account on a monthly basis for the full amount of my utility bill. My credit card account will be drafted two days before the due date printed on my bill.
Credit Card:
MasterCard    Visa
Credit Card Number:
Expiration:

Signature

 

Newnan Utilities | 70 Sewell Road | Newnan, GA 30263 | Phone 770-683-5516 | Fax 770-683-3884 | CSR@NewnanUtilities.org