I authorize Atlantic City Electric to automatically debit my bank account 
monthly under the Direct Debit Plan. I understand that this 
agreement may be terminated by me at any time by written or 
verbal notification to Atlantic City Electric . Any incorrect charges will 
be corrected upon notification to Atlantic City Electric . If corrections 
are necessary, it may result in a credit or debit to my checking 
account.

Please sign below exactly as your name(s) appears on your 
checking account.


Authorized Signature ____________________________________________


                Date ____________________________________________



Customer Information

      Atlantic City 
      Electric 
      Account Number ____________________________________________
	 

       Customer Name ____________________________________________
	 

    Customer Address ____________________________________________
	 

    City, State, Zip ____________________________________________
	 

       Daytime Phone ____________________________________________
	 


Financial Institution Information

      Checking 
      Account Number ____________________________________________
	 

           Bank Name ____________________________________________
	 

      Routing Number ____________________________________________
	 

    City, State, Zip ____________________________________________
	 

          Bank Phone ____________________________________________