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Direct Payment Enrollment

  1. Type of Account

  2. Do you want to receive your bill via email?

  3. Provide your City of Madison Heights Service Address The Address where the meter is located.

  4. Provide Your Electronic Authorization

    By entering the submission date and clicking the “Submit” button, I authorize the City of Madison Heights to deduct my payments from the checking or savings account listed above. I understand that I control my payments and if at any time I decided to discontinue this payment service, I will notify the City of Madison Heights Treasury Department in writing. I also understand that all information provided will remain confidential.

  5. Leave This Blank:

  6. This field is not part of the form submission.