Direct Payment
DOC Propane


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Direct Payment Authorization Form

Direct payment is the electronic transfer of an authorized payment from your checking account, savings account or credit card into your DOC account. This service applies to budget customers and customers receiving a monthly statement. For budget accounts, your budget payment will be taken out on the 10th of every month for only the amount of your monthly payment. For non-budget accounts, the balance that you see on your statement will be the amount that gets deducted on the 10th of the following month after receipt of the statement.  If the 10th falls on a federal holiday, the money will be deducted on the next business day.

Contact Information

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Use bank account information

Sign Payment

I authorize Daigle Oil Company to debit the credit card and/or the checking account indicated in this authorization form on the 10th day of every month for payment of my DOC monthly statement. If the above noted payment date falls on a weekend or holiday, I understand that the payment may be executed on the next business day. I understand that this authorization will remain in effect until I cancel it in writing. I agree to notify the business in writing of any changes to my account information or termination of this authorization at least 15 day prior to the next billing date. I certify that I am an authorized user of this credit card or checking account and that I will not dispute the scheduled payments with my credit card company or financial institution provided the transactions correspond to the terms indicated in this authorization form. I acknowledge that the origination of debit transactions to my account must comply with the provisions of the U.S. law.

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Typed names are equivalent of handwritten signatures and are legally binding