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Sign Up for e-Check (ACH) Auto-Pay

***Your Auto Pay submission form will be processed/activated in the order that they are received. Due to overwhelming response there may be a slight delay. If you have any questions or concerns please call the office.***
Auto-Pay is a safe and easy way to pay your bills online.

​By signing up for Auto-Pay you are agreeing that all payments will be made in full on the first business day of the month after service has been completed.


We can email a copy of the Auto-Pay Authoriziation form to you and return it to any of our local offices, or you can fill out the online form below.

​If you are a current Auto-Pay customer and your payment information has changed (new credit card, etc), please use the form below to update your information. You may email if you have any other Auto Pay questions.

e-Check (ACH) Auto-Pay

Customer Billing Information
Recuring payment?
Check all that apply:
e-Check (ACH Debit) Information

I (we) do hereby authorize Bryan Pest Control, hereinafter named the COMPANY, to initiate debit entries to my (our):

Select an option

indicated and named above as the depository financial institution, hereafter named FINANCIAL INSTITUTION, and to debit the same to such account. I (we) acknowledge that the origination of ACH transactions to my (our) account must comply with the provisions of U.S. law. Furthermore, if any such debit(s) should be returned NSF, I authorize the COMPANY to collect such debit(s) by electronic debit and subsequently collect a returned debit NSF fee of $25.00 per item by electronic debit from my account identified below. I am a duly authorized check signer on the financial institution account identified below, and authorize all of the above as evidenced by my initials below. I understand that by initialing below represents my digital signature.

This authorization is to remain in full force and effect until the COMPANY has received written notification from me (or either of us) of its termination in such time and in such manner as to afford the COMPANY and FINANCIAL INSTITUTION a reasonable opportunity to act on it.

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