Autopay Form

Credit Card Authorization Form
For your convenience, we offer autopay using your Debit or Credit card. To sign up for autopay please fill out the form below and your bill will be paid on the first of every month. After completed you can mail it to the PO Box on the form, fax it to the number on the form, or bring it in person to 1604 NE Vine St., Ste. 2 in Roseburg.