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BANK DRAFT AUTHORIZATION
I, _______________________________________, hereby authorize the Local Manager and/or Cashier of the Hawley Water Supply Corporation, at Hawley, Texas to draw on my account at ___________________________________ Bank, _____________________, Texas on the 10th of each month for the amount of my current accounts with said Company at the above named location. It is understood and agreed that such drafts will be and are drawn by the Hawley Water Supply Corporation for my convenience and that such practice will be discontinued at any time upon my request. DATE _________________________________ SIGNED ______________________________________ CUSTOMER SERVICE ADDRESS ______________________________________________________ HAWLEY WATER SUPPLY CORP. ACCOUNT # ____________________________ *PHONE NUMBER ___________________________________ Return to: Hawley Water Supply Corp. PO BOX 296 Hawley, TX 79525
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