C&L Electric Cooperative

Cancel your Automatic Bank Draft

Use this form when you want to entirely cancel Auto Bank Draft that is currently set up using a bank account.

Note this cancellation must be received by C&L Electric at least five (5) days prior to the draft date of the bill or the change will not be effective until the next bill.

Print this form.

Name
(as it appears on your electric bill)*

C&L Account Number(s)*

Current Billing Address*

Street Address

City

State

Zip Code

Daytime Phone*

Effective Date*

I understand that a notice must be given at least 5 business days before the effective day of this cancellation*

I understand

Please Specify

Bank Account Number
(Maximum of 15 numbers - Do not include check number)*

Name on the Bank Account*

Name of Bank*

Special Instructions*

Signature
(Type your name)*