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300 E. 9 Mile Road


Form Section 1

Recurring Bank Account Debit Form

City Hall | 300 E 9 Mile | 248-546-2374 |

Full Name

Submit Voided Check

A Voided Check is required for verification of Routing & Account #. Please upload a scan of your voided check using the box below.

Upload Voided Check

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Penalty Terms

I hereby authorize the City of Ferndale to deduct my Water/Sewer payment from the checking account listed above and agree that a $35.00 NSF fee shall be charged in the event funds are insufficient to pay the full amount at the time of withdrawal, in addition to the 10% late penalty.

By signing I agree to the penalty terms above and I am authorizing the City of Ferndale to deduct funds from my account to pay my Water/Sewer bill.

Sign Here