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Monthly Donation Authorization
Leave This Blank:
Sachse citizens may support select City programs with a voluntary monthly contribution added to their water/sewer/garbage bill.
LIBRARY - build the E-book collection
PARKS & REC - tree planting and maintenance
ANIMAL CONTROL - animal care & future expansion of the facility
I authorize the City of Sachse Utility Billing Department to include the following amounts on my water utility bill each month to support:
Sachse Animal Control
In increments of $1 - how much do you wish to donate?
*
I authorize the City of Sachse Utility Billing Department to include the following amounts on my water utility bill each month to support:
Sachse Library
In increments of $1 - how much do you wish to donate?
*
I authorize the City of Sachse Utility Billing Department to include the following amounts on my water utility bill each month to support:
Sachse Parks
In increments of $1 - how much do you wish to donate?
*
What is your TOTAL Monthly Donation?
*
What is the name on your account?
*
What is your account number?
*
What is your service address?
*
What is your email address?
*
I understand that I am electing to have this amount added to my monthly utility bill and that failure to pay could cause the account to be delinquent. It is my responsibility to notify the billing department if I wish to change or cease this election.
Signature
*
Date
*
Notes to remember:
1. The donation level you select will be added to your bill as a monthly recurring charge and will continue until you notify the Utility Billing Department in writing of your desire to cease or change.
2. Donations must be in increments of $1.
3. Don't want a monthly commitment? We can accept one-time donations, but the payment must be separate from your utility payment.
One-time donation
* indicates required fields.
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