Automatic Payment Plan Application

Menard Electric Cooperative is pleased to offer an automatic bank withdrawal plan to all members whos account is in good standing. Through this automatic withdrawal plan (ACH), Menard Electric will draw monthly bank drafts on the member's bank account for the payment of the monthly electric bill and and other services the member may authorize. If would like to sign up for the automatic payment plan, fill out the following form and send it along with a VOIDED CHECK or DEPOSIT SLIP to:

Menard Electric Cooperative
PO Box 200
Petersburg, Illinoi 62675


Name: SSN:
Address:
City: State: Zip:
Phone #:
Map Location #: (Upper Right Corner of Bill)
Bank Name:
Bank Account #:
Type Of Account: Checking Savings
Authorization Statement: I authorize Menard Electric Cooperative to draw monthly bank drafts through the automatic plan (ACH) on the account shown above for the payment of my electric bill in full and any other services I authorize. I understand that I may discontinue my participation at any time by notifying Menard Electric Cooperative in writing. Both Menard Electric Cooperative and the bank may terminate this agreement with ten (10) days written notice. I understand that Menard Electric Cooperative reserves the right to limit participation in this program to customers whose accounts are in good standing. I understand that the amount of my bill each month will be drafted on the 10th or next business day after. I understand that if funds are not available in my account for the draft to clear, there will be a charge posted to my Menard Electric Cooperative account, for NSF, and I will still be required to make full payment before the due date of the bill.
Signature of Applicant: Date:
Please print out and mail in this form.

View Site Map 		Menard Electric Cooperative
14300 State Hwy 97
PO Box 200
Petersburg, IL 62675-0200
(800) 872-1203 or (217) 632-7746
Email - info@menard.com 		Copyright 2009-2010 All Rights Reserved by
Menard Electric Cooperative and AgPage Int. Consulting, LLC