Authorization for Direct Debit

Use attached file to set up automatic dues payments. 

Complete with your financial institution information, (your savings or checking account).

Email & phone are required.  

Send completed form (HOA must maintain original copies) to:

Galway Hills Homeowners Association
P.O. Box 5211
Coralville, IA 52241

Frequency should be marked  Other:  Annual

Allow 30 days for processing.  Please include your email address on the form so we can send verification email.

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