Budget Plan FormBudget Billing Authorization FormName* First Last Phone*Email REMC Account Number*ConsentI understand that under the Budget Billing program my payment must be received by REMC prior to due date to avoid a penalty. I also understand that if my account is disconnected for nonpayment I will automatically be removed from the Budget Billing program. I also understand that if my account is disconnected for nonpayment, I will automatically be removed from the Budget Billing program, and that I am not eligible for this program again for one year from the disconnection date. Yes, I agreeCAPTCHANameThis field is for validation purposes and should be left unchanged.
