ACH Authorization FormAuthorization Agreement for Preauthorized Electronic Withdrawals
The automatic withdrawal payment option is a convenient, hands-free way to ensure you never miss a payment. The same amount is withdrawn from your checking account on the same day each month.
Please complete the Agreement Form. Make sure to mail (or drop off at City Market) a voided check.
HOW TO OBTAIN FORMS
ONLINE Electronic versions of all BVSD forms can now be filled out and submitted online.
PRINT You can also download a printable version of each form to print on your own computer.
PICK UP You can pick up a copy of any form at our office.
HOW TO RETURN FORMS
SUBMIT the online version of each form instantly
MAIL printed forms to PO Box 3069, Buena Vista, CO 81211
EMAIL a scanned copy of printed forms to firstname.lastname@example.org
FAX printed forms to 719-395-5859
DROP OFF completed forms at our office
DROP BOX We have a drop box for completed forms and payments at City Market near the Customer Service desk, which is checked each work day.