ACH Debit Authorization. I hereby request that all dues, fees and charges be billed for direct payments (ACH debits) as listed below with dues on an annual basis on or before the first day of each year and fees and charges on a monthly basis, unless otherwise determined by the Club from time to time. I authorize the Club to initiate debit entries to my ❑ Checking Account or ❑ Savings Account, at the depository financial institution named below, hereinafter called “Depository” and to debit same to such account. I acknowledge that the origination of ACH transactions to my account must comply with the provisions of United States law. PLEASE ATTACH A COPY OF A VOIDED CHECK Depository Name City Routing Number Account Holder Name: _ Branch State/Postal Code Account/ID Number ❑ Credit Card or Debit Account Authorization. I hereby request that all dues, fees and charges be billed to my credit card, or debited from a bank or other financial institution account listed below and hereby authorize such billing. I certify that the below listed card is issued to me and agree that all disputes on my credit or debit card account relating to the Club will be promptly brought to the Club’s attention. I understand that I am obligated to keep a valid approved credit or debit card on file with the Club at all times and that I am responsible for any amounts that are not paid by me by the credit card company or debit card bank or other financial institution. Credit or Debit Card Type Card Account Number Exp. Date Name As It Appears On Card Credit Card Billing Address CCV2/CVC2/CID (Visa and MasterCard cards have CVV2 and CVC2 security codes that are 3 digits in length, are located on the back of the card, and are the last 3 digits displayed with the (partial) card number. American Express credit cards have a CID security code that is 4 digits in length, and is located on the front of the card in different areas.) Cardholder Signature In the event that any amounts owed to the Club are not paid on a timely basis, I understand that I may be charged a late payment charge in accordance with the Rules and Regulations.
ACH Debit Authorization. The Borrowers shall deliver to the Investors completed ACH Debit Authorizations in the form of Exhibit B hereto.
ACH Debit Authorization. On or before the Closing Date, the Companies will authorize the Investor's bank of account to initiate direct payments of interest payments due under the Note from the Companies’ bank(s) of account pursuant to one or more authorizations in the form of Exhibit D.
ACH Debit Authorization. Agent shall have received a duly executed ACH Debit Authorization.
ACH Debit Authorization. On or before the Closing Date, Customer shall deliver to MLC an Automated Clearing House debit authorization in the form of Exhibit C hereto duly executed by Customer.
