NEW BUDGET PAYMENT PLAN PLAN AGREEMENT Budget Payment Plan Agreement First Name * Last Name * Account Number * I agree to pay the new monthly amount sent to me in the Budget Payment Plan Letter. * Yes No If yes, upon submitting this form, you will be officially signed up for the New Budget Payment Plan! Your new monthly payment will be deducted automatically from your account by the 15th of each month, starting on January 1st, 2024. You can opt out of the program by notifying MMLD 30-days in advance of the next payment. No problem! We will remove you from the Budget Payment Plan signup and your monthly bill will resume as usual. If you are human, leave this field blank. Submit Δ
