ACH Non Recurring (One Time) Payment

By completing the form below, you understand that you are authorizing KLPD to initiate an electronic debit entry from your bank account for the amount designated by you for payment of electrical services.

You are acknowledging that the origination of this ACH transaction to your account must comply with the provisions of U.S. Law and that this authorization is strictly for the purpose of this one time payment.

To participate in KLPD's Automatic monthly ACH Debit-Direct Recurring Payments Draft Program, please Click Here

To make a one-time (non recurring) payment, please complete the form below:

KLPD Account Number *

Name on KLPD Account *

Address *

City, State, Zip *

Telephone *

Email Address *

Payment Authorization Amount *

Payment Authorization Date *

Full Name on Bank Account *

Name of Financial Institution *

Transit Routing Number *

Bank Account Number *

Type of Account *

* - denotes required field