E-bill and Auto Bank Draft Sign Up Account Services > E-bill and Auto Bank Draft Sign Up E-Bill and Auto Bank Draft Sign Up Member Number This will be highlighted in yellow on your bill. Member Name First Last Last Four of Social Security Number for Account Verification E-Mail Address Mailing Address Address Address 2 City/Town State/Province - Select -AlabamaAlaskaAmerican SamoaArizonaArkansasArmed Forces (Canada, Europe, Africa, or Middle East)Armed Forces AmericasArmed Forces PacificCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFederated States of MicronesiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyomingAlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNova ScotiaNorthwest TerritoriesNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon ZIP/Postal Code Best Contact Number Draft Date - Select -Every 5th of the monthEvery 12th of the monthEvery 19th of the monthEvery 26th of the month Attach a Voided Check One file only.20 MB limit.Allowed types: gif, jpg, png, bmp, eps, tif, pict, psd, txt, rtf, html, odf, pdf, doc, docx, ppt, pptx, xls, xlsx, xml, avi, mov, mp3, ogg, wav, bz2, dmg, gz, jar, rar, sit, svg, tar, zip, jpeg. Sign-Up for E-Billing Please sign me up for paperless billing and send to the email listed on this form. Auto Bank Draft Authorization I authorize Oregon Trail Electric Cooperative (OTEC) to automatically charge my bank account to pay my OTEC bill each month. I understand that I will continue to receive my billing statements each month. I agree to keep my member and payment information current on OTEC’s files. Further, this agreement may be cancelled by OTEC and additional processing fees may apply if my payment transaction is refused by my financial institution. I may voluntarily cancel my agreement upon five days advanced notification to OTEC. By signing up for bank draft I understand and agree to have bank draft as the only form of auto-pay on my account. Electronic Signature I understand that checking the above boxes and typing my name in the field provided is my electronic signature.
