If you would like to participate in the
Budget Billing program
please complete the form below and return this page to:
Aha Macav Power Service
PO Box 6870
Mohave Valley, AZ 86446
This form will serve as authorization to set up your account on the
Budget Billing program.
The Budget Billing
program is a free service to all our residential customers. It is
designed to help you avoid unpredictable bills and make balancing your
budget a little easier. However, to remain on the service, you must pay
your bill before the “Delinquent Due Date.” You may cancel
Budget Billing at any
time; however, once you cancel you must wait one (1) full year to start
the program again. Upon cancellation any debit balance will become due;
any credit balance will be applied to your account. A confirmation
letter will be sent to you prior to the start of the budget payments
indicating the monthly amount of the plan.
If you have any questions, on the
Budget Billing program please call 928-768-2200 and our Customer
Service Representative will be happy to assist you.
Book #_____________
Account#________________
Name:________________________________________________
Date:______________
Service Address:
__________________________________________________________
Telephone Numbers:
Home:__________________________________
Work: __________________________________
Cell: ___________________________________
Please place my account on the Budget Billing Plan. I have read and
understand the Rules and regulations.
Authorized Signature:_____________________________________ Date:
____________