Automatic Debit Authorization Form (ACH)

By signing up for automatic debit (ACH program), you have chosen the free, easy and convenient way to pay your monthly Sandia Heights Services bill! Simply fill out the authorization information below and submit your form. Your payments will be automatically deducted from your checking account on the 5th of every month. No more checks, stamps, lost mail or delayed payments! You will continue to receive your monthly paper statement, or you can sign up to view your bill online at shs.viewmybill.net.

Automatic Debit Authorization (ACH Program)

ACH Authorization From

"*" indicates required fields

Sandia Heights Services Account Number*

Email*

Name*

Customer Name

Service Address*

Street Address City State / Province / Region ZIP / Postal Code

Mailing Address

Street Address City State / Province / Region ZIP / Postal Code

Telephone Phone Number*

Financial Institution Name*

Bank Transit/ ABA/ Routing Number*

Checking Account Number*

Please attach voided check.*

Max. file size: 512 MB.