Skip to content
Quick Start for:


Electronic Funds Transfer Mail-Order Form

Send me the following:

Electronic Funds Transfer Brochure (# 96-275)
TEXNET Enrollment Form (form # 00-107)
TEXNET Change Form (form # 00-941)
EFT Due Date Schedule (form # 00-843)
Payment Instruction Booklet (# 96-590)


Send to:
(All the following fields must be filled in.)
Business Name
Your Name
Street Address
City, State, Zip
E-mail Address