Visit our office to complete an authorization form, or you can download the Auto Pay Authorization form below. A voided check will be required to process this request. We must have fifteen (15) days’ notice before the due date when cancelling Automatic Deduction payments.
Downloaded Auto Pay Authorization forms can be completed, signed and submitted via fax to 570-888-6199, dropped off, or mailed to:
PO Box 340
523 S. Keystone Ave.
Sayre, PA 18840
Or emailed to: firstname.lastname@example.org