Bank Draft Authorization Form
Date you wish to start the bank draft:
Blue Ridge Rural Water will draft the amount of the bill on the due date each month.
Name on the Blue Ridge Rural Water account
First and Last Name
Blue Ridge Rural Water Account Number
Please select the type of account:
Please attach a scanned copy of the appropriate voided item for the type of account to be drafted. (A voided check for a checking account or a withdrawal slip for a savings account must be enclosed.)
I authorize Blue Ridge Rural Water Co. Inc. to deduct my bill payments from my bank account. I will notify Blue Ridge Rural Water Co. Inc. if at any time I decide to discontinue this payment service.
Please click submit and you will be redirected to Blue Ridge Rural Water Company's website.
A copy of the completed draft form will be sent to your email provided for your records.
Thank you for your time.