Number Number. This authorization is to remain in full force and effect until COMPANY has received written notification from me (or either of us) of its termination in such time and in such manner as to afford COMPANY and DEPOSITORY a reasonable opportunity to act on it.
Number Number. ARTICLES
Number Number. This authorization is to remain in full force and effect until Forest Lake Education Center has received written notification from me (or either or us) of its termination in such time and in such manner as to afford Forest Lake Education Center and First Colony Bank a reasonable opportunity to act on it.
Number Number. This authorization is to remain in full force and effect until stated ASSOCIATION has received written notification from me (or either of us) of its termination in such time and in such manner as to afford stated ASSOCIATION and my (our) bank a reasonable opportunity to act on it (30 days). Upon completion please deliver form to SDHOA for processing by use any means provided below.
Number Number. This authorization is to remain in full force and effect until the Town of Farmville has received written notification from me (or either of us) of its termination in such time and in such manner as to afford the COMPANY and DEPOSITORY a reasonable opportunity to act on it.
Number Number. This authorization is to remain in full force and effect until KDR has received written notification from me (or either of us) of its termination in such time and in such manner as to afford KDR and DEPOSITORY a reasonable opportunity to act on it.
Number Number. This authorization is to remain in full force and effect until Saint Xxxxxx’x University has received written notification from me of its termination in such time and in such manner as to afford Saint Xxxxxx’x and DEPOSITORY a reasonable opportunity to act on it.
Number Number. This authority is to remain in full force and effect until COMPANY has received written notification from me
Number Number. This authorization is to remain in full force and effect until COMPANY has received written notification from me (or either of us) of its termination in such time and in such manner as to afford COMPANY and DEPOSITORY a reasonable opportunity to act on it. Name(s) ID Number Date Signature NOTE: ALL WRITTEN DEBIT AUTHORIZATIONS MUST PROVIDE THAT THE RECEIVER MAY REVOKE THE AUTHORIZATION ONLY BY NOTIFYING THE ORIGINATOR IN THE MANNER SPECIFIED IN THE AUTHORIZATION. Company Name Company ID Number I (we) hereby authorize , hereinafter called COMPANY, to credit entries to my (our) □ Checking Account/ □ Savings Account (select one) indicated below at the depository financial institution named below, hereinafter called DEPOSITORY, and to credit the same to such account. I (we) acknowledge that the origination of ACH transactions to my (our) account must comply with the provisions of U.S. law. Depository Name Branch City State Zip Routing Account
Number Number. This authorization is to remain in full force and effect until COMPANY has received written notification from me (or either of us) of its termination in such time and in such manner as to afford COMPANY and DEPOSITORY a reasonable opportunity to act on it. Name(s) Merchant ID Number (Please Print) NOTE: WRITTEN DEBIT AUTHORIZATIONS MUST PROVIDE THAT THE RECEIVER MAY REVOKE THE AUTHORIZATION ONLY BY NOTIFYING THE ORIGINATOR IN THE MANNER SPECIFIED IN THE AUTHORIZATION. offered, for the prior period’s activity for the net amount due (i.e. gross sales less margin). For example, Wednesday’s debit via ACH shall be for all transactions done from Monday morning at 12:00 AM through Tuesday evening at 11:59 PM, and so on. Company name: DBA: Owner or Primary Contact Name: Social Security Number: Owner or Primary Contact Title: Phone: Fax: E-mail: Registered company address: City: State: ZIP Code: Date business commenced: Sole proprietorship: Partnership: Corporation: Other: Federal Tax ID: Annual Revenue: Primary business address: City: State: ZIP Code: How long at current address? Telephone: Fax: E-mail: Bank name: Bank address: Phone: City: State: ZIP Code: Type of account Account number Savings Checking Other Company name: Address: City: State: ZIP Code: Phone: Fax: E-mail: Type of account: Company name: Address: City: State: ZIP Code: Phone: Fax: E-mail: Type of account: Company name: Address: City: State: ZIP Code: Phone: Fax: E-mail: Type of account:
