Stop Automatic Payment STOP AUTOMATIC PAYMENT Name* First Last Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Customer ID*Last 4 Digits on Social Security # on Account:*Effective Date* Date Format: MM slash DD slash YYYY Must be 7 days prior to due dateAuthorization* I agree to the Stop Automatic Payment policy.I (we) hereby authorize to stop automatic payment of my (our) natural gas bill associated with the Customer ID and effective date listed above. ( Effective date must be 7 days prior to due date or account may be drafted for that billing cycle. )Depository InformationDepository Name*Branch*City*State*Transit/ABA Number*Routing NumberAccount Number*Customer AgreementAgreed Upon by:*Date* Date Format: MM slash DD slash YYYY CAPTCHA