Form Center

Step One

Authorization for Automatic Payments
For your convenience the City of Woodland Park offers two forms of automatic monthly bill payments:
1. Automatic bank withdrawal from your checking or savings account.
2. Automatic monthly charge to your Visa or Master Card.
Please fill out and sign the application below to start your preference for automatic monthly payments.
Name*
Email Address*
Service Address*
City*
State*
Zip Code*
Mailing Address (if different)*
City*
State*
Zip Code*
Phone Number*
Would you like to do Paperless Billing? *
If you select "Yes", we will use the email address above.
Would you like the automatic payment to come out of your bank account or a card?
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