Name ___________________________________________
N,
Address _________________________________________
P   
City/State/Zip ____________________________________
     .
Phone __________________________________________
E-mail __________________________________________
Signature ________________________________________
Signature #2 _____________________________________
Date ____________________________________________
834-4444
Bank Name ______________________________________
SIERRA PACIFIC
Customer Service
S1A15
6100 Neil Road
Reno, NV 89520-0024
6100 Neil Road
Reno, Nevada 89520
sierrapacific.com
If signing up for Electric Check, please complete
this additional information:
Service
Sierra Pacific Account # ____________________________
Customer
________________________________________
Name
____________________________________________
Street
____________________________________________
City
State
Zip
E
F
Name(s) shown on bank account
________________________________________________
________________________________________________
Bank Account # ___________________________________
Transit Routing Number ____________________________
(First 9 digits at the bottom left corner of your personal check)
Please attach a voided check or savings deposit slip.
Notice of your enrollment in Electric Check will appear on your bill within two
billing periods. Please continue to make payments until a notice appears on your
monthly statement.
I (we) hereby authorize Sierra Pacific and the financial institution designated
on this application to charge the account specified for payment on my (our)
monthly electric bill. I (we) understand that I (we) am in full control of the
payment and have the right to stop payment by notifying Sierra Pacific within
five days after receiving a bill. I (we) understand that a $10 fee will be charged
to my (our) account for each payment returned for insufficient funds. If two
requests are returned for insufficient funds, I (we) will be excluded from the
program. In addition, I (we) understand that both Sierra Pacific and my (our)
financial institution reserve the right to terminate this payment plan and my
(our) participation therein. If I (we) choose to withdraw from this plan, I (we) will
immediately notify Sierra Pacific in writing.
6100 Neil Road
Reno, Nevada 89520
For more information:
Signature _________________________ Date ___________
Everyone on bank account must sign authorization.
C
sppc/LVC 10m 01/04
C
EQUAL PAYMENT
SHOP & PAY
CHOICES ENROLLMENT FORM
If you want to know in advance what your
We know you’re busy. We know you’re out and about,
Check any or all of the following boxes and sign and
power bill’s going to be, you want Equal
doing other things. Shop & Pay is a network of more
complete the information on the reverse side
Payment. We’ll take your average power usage
than 80 locations throughout the area where you can
of this form.
and divide it into equal monthly payments.
make your payment while you’re doing…you know…
You can plan. You can budget. Because you’ll
other things. Visit sierrapacific.com for a complete
�
know what your bill’s going to be.
list of locations.
Yes! I want to Select My
Due Date. Make my bill
due on the __________ of
�
each month.
�
Equal Payment.
�
Electric Check.
�
of Shop & Pay Locations.
ELECTRIC CHECK
ONLINE PAY
Electric payment for electric service. What
By the time you’re finished reading this paragraph, you
a concept. Provide us with some basic
could have paid your power bill. Because now you can
information and we’ll automatically deduct
pay your power bill online from the comfort of your
the proper amount from your bank account
own home. Just visit our website at sierrapacific.com
each month. Your information will remain
and, with a click of the mouse, your bank account is
confidential and you’ll receive a monthly
automatically charged for the amount of your power
statement. You, meanwhile, don’t have to do
bill. No more stamps. No more checks to write. And
anything at all.
enrolling in Online Pay is just as easy. Have your bank
information about Online Pay.
account and Sierra Pacific account information handy
E-mail:
SELECT YOUR DUE DATE
for easy reference.
Want to specify the day of the month you pay
your bill? No problem. Just call us and we’ll
Choose the plan that works best for you. Call today or
take it from there.
visit our web site for more information.
834-4444
sierrapacific.com
Yes! Sign me up for
Yes! Sign me up for
Yes! Please send me a list
Yes! Please send me more