Paperless Billing Request Form Prepay and Water If you are a Prepay/SMARTpay or a water-only account, your account is not eligible for paperless billing. Send us a Message Name of Member on the Account Name of Member on the Account First Middle Last Email and phone Phone Number Email Address on the Account Account # Account Number The service address must be provided if the account number is not provided. Service Address/E-911 Address Service Address/E-911 Address Address Loy, Unit, Appt #, etc. City/Town State/Province - Select -AlabamaAlaskaAmerican SamoaArizonaArkansasArmed Forces (Canada, Europe, Africa, or Middle EastArmed Forces AmericasArmed Forces PacificCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFederate States of MicronesiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyoming ZIP/Postal Code Paperless Billing Select a paperless billing option: - Select -Switch to Paperless BillingLearn more about Paperless BillingOther Do you have multiple accounts? - Select -YesNo Would you like to sign-up for paperless billing on all of your accounts? - Select -YesNo Bank Draft Would you like to sign-up for Auto-Draft Payments by Credit Card or Bank Draft? - Select -YesNo Sign-up for Draft Information To sign up for draft payments, please follow the instructions below: 1. Log in your online account at https://billing.cullmanec.com/cec/login.jsp 2. Select the draft payment option you wish to sign-up for (Bank Draft or Credit Card Draft) 3. Follow the remaining instructions for your selected draft type. If you do not want to sign up for Draft on your online account, please call us at 256-737-3200 or visit one of our offices. **If you sign up for draft during July, August, or September, your $5 credit will be applied on your next bill.** Online Account Information Do you have your online electric account set-up? - Select -YesNo Enter Online Account Password This will be the password for your online account. You will be able to log into your online account at https://billing.cullmanec.com/cec/login.jsp once you receive confirmation from a Member Services Representative that they have signed you up for paperless billing and created your online account. Confirm Online Account Password Enter Mother's Maiden Name for the Security Question This will be the security question answer for your online account. You will be able to log into your online account at https://billing.cullmanec.com/cec/login.jsp once you receive confirmation from a Member Services Representative that they have signed you up for paperless billing and created your online account. CAPTCHA This question is for testing whether or not you are a human visitor and to prevent automated spam submissions. Submit
