Econ Refuse Service Llc

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ECON REFUSE SERVICE LLC
P. O. BOX 124
KIRKWOOD, PA 17536
Phone -717-529-1292 or Fax – 610-932-4055
Dear Econ Refuse Customer:
Thank you for choosing our Automatic Payment Option (AutoPay). With your signed
permission below, Econ Refuse Service LLC will deduct your quarterly billing for trash
service using your designated Visa, MasterCard, American Express or Discover credit card.
Payments are deducted from your account during the first week of the quarterly billing month.
This AutoPay plan is voluntary and can be withdrawn by you at any time. To cancel your
AutoPay feature we must receive notification on or before the last day of the month. The
AutoPay option will remain in effect until you notify us that you are terminating this
agreement.
If sufficient funds are not available and your card is “Declined”, we will contact you. If due to
insufficient funds we do not transfer funds to make your required payment, you will be
responsible to ensure that the required payment is made.
We are glad you are our customer and our goal is to provide you with the most convenient payment
options. Please contact us with us any questions.
Sincerely,
Econ Customer Service
I give permission to Econ Refuse Service LLC to automatically withdraw my quarterly trash
billing using the information provided below during the first week of my quarterly billing
statement.
Customer Name _________________________
Address________________________________
City, State, Zip__________________________
Phone_________________________________
Credit Card #_____________________________
Credit Card Type__________Exp. Date________
Signature________________________________
Please fax, email or mail in the bottom portion.

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