Common use of Payment Authorization Clause in Contracts

Payment Authorization. You authorize Viasat to charge your credit card or debit card (“Card Payment”), or initiate an electronic funds transfer out of your bank account (“EFT Payment”) for payment of all or any portion of your Service fees, the Termination Fee, if applicable (and/or any other applicable termination fee) and any other amounts payable under this Agreement, until such amounts are paid in full, unless you live in a state where Viasat is required under applicable law to accept another method of payment or Viasat has agreed to accept another method of payment from you. This Agreement has 20 pages and incorporates Viasat’s Data Allowance Policy, Bandwidth Usage Policy, Unlimited Data Policy, Privacy Policies, Acceptable Use Policy, Network Management Policy, Viasat Shield Application End User Terms and Conditions Agreement, and your Internet Service plan details and restrictions as posted on xxx.xxxxxx.xxx/xxxxx. In addition, if you are leasing your Equipment, receiving Voice, receiving Services through our Recovery Act Program, receiving Services through the CAF-II program, and/or receiving the Affordable Connectivity Program or Lifeline discounts, the Agreement incorporates, as applicable, the Lease Addendum, the EasyCare Addendum, the Voice Addendum, the Recovery Act Addendum, the Affordable Connectivity Program Addendum, the CAF-II Addendum, and/or the CAF-II Lifeline Addendum. You acknowledge that you have received, read, understand and agree to be bound by all of the terms and conditions set forth on each of the pages of this Agreement and the incorporated documents, as each of them may be updated from time to time. If you did not receive Sections 1 through 8 of this Agreement, Exhibit A, and, if applicable, the Lease Addendum, the EasyCare Addendum, the Voice Addendum, the Recovery Act Addendum and/or the Affordable Connectivity Program Addendum, the CAF-II Addendum, and/or the CAF-II Lifeline Addendum, DO NOT SIGN THIS AGREEMENT. Customer Information Authorized Signer Information (if Customer is not present at Installation) Customer Signature: Date: Authorized Signer’s Signature: Date: By signature I affirm that the Customer has authorized me to establish an account in the Customer’s name. 1. The Service.

Appears in 6 contracts

Samples: Customer Agreement, Customer Agreement, Customer Agreement

AutoNDA by SimpleDocs

Payment Authorization. You authorize Viasat us to pay checks signed by you and charge the payments against the applicable Account. Only checks or other methods approved by us may be used to withdraw funds from your credit card or debit card (“Card Payment”)Account. You agree that it will be your responsibility to verify the accuracy of information appearing on any checks, deposit slips, or initiate an electronic funds transfer out of your bank account (“EFT Payment”) for payment of all or any portion of your Service fees, the Termination Fee, if applicable (and/or any other applicable termination fee) and any other amounts payable under this Agreement, until such amounts are paid in full, unless you live in a state where Viasat is required under applicable law to accept another method of payment or Viasat has agreed to accept another method of payment from you. This Agreement has 20 pages and incorporates Viasat’s Data Allowance Policy, Bandwidth Usage Policy, Unlimited Data Policy, Privacy Policies, Acceptable Use Policy, Network Management Policy, Viasat Shield Application End User Terms and Conditions Agreementforms, and your Internet Service plan details you agree that we will not be liable for any printing errors on any such forms. All checks, withdrawal forms, deposit slips, and restrictions as posted transfer instructions used in connection with any Account must be on xxx.xxxxxx.xxx/xxxxxforms that we provide or otherwise expressly approve. In additionYou agree to complete checks using a non-gel, black or dark blue ink that will readily transfer during any imaging of the check. We will not be liable for any resulting losses, and you agree to hold us harmless from such losses, if you fail to meet your obligations as set forth in this paragraph. Checks and debits are leasing presented against your Equipmentchecking account by posting transactions according to a processing schedule. To avoid fees, receiving Voiceyou should ensure that your Account contains sufficient available funds at all times to pay each of your transactions. In making distributions upon the death or disability of any Party, receiving Services through you agree that we may rely upon our Recovery Act Programrecords at the time of any such death or disability. If an instrument (check) contains contradictory terms, receiving Services through typewritten terms prevail over printed terms, handwritten terms prevail over both, and words prevail over numbers. If you issue a check drawn on your Account and a nonmember of RBFCU seeks to cash the CAF-II programcheck at a RBFCU branch, you agree that we may require the nonmember to provide appropriate physical and/or receiving documentary identification as a condition of cashing a check drawn on your Account. You also agree that we may refuse to cash a check, even if it is properly payable and proper identification is provided, and such refusal shall not constitute wrongful dishonor of your check. Further, you agree we have the Affordable Connectivity Program or Lifeline discounts, right to charge the Agreement incorporatesnonmember, as applicablea condition of cashing the check, a nonmember check cashing fee. This fee, which is reflected in our Fee Schedule, helps RBFCU cover the Lease Addendum, the EasyCare Addendum, the Voice Addendum, the Recovery Act Addendum, the Affordable Connectivity Program Addendum, the CAF-II Addendum, and/or the CAF-II Lifeline Addendumadditional costs and risks involved in cashing such a check for a nonmember. You acknowledge that you have received, read, understand and agree that a nonmember seeking to cash a check drawn on your Account retains the ability to deposit the check with their own financial institution which would result in your check being presented to us through normal check processing channels. For other members of RBFCU, you agree that we may refuse to cash a check drawn on your Account if the member seeking to cash the check at a RBFCU branch is not a member in good standing and you further agree such refusal (or other action such as requiring the check to be bound by all of deposited into the terms and conditions set forth on each of the pages of this Agreement and the incorporated documents, as each of them may be updated from time to time. If you did other member’s account at RBFCU) shall not receive Sections 1 through 8 of this Agreement, Exhibit A, and, if applicable, the Lease Addendum, the EasyCare Addendum, the Voice Addendum, the Recovery Act Addendum and/or the Affordable Connectivity Program Addendum, the CAF-II Addendum, and/or the CAF-II Lifeline Addendum, DO NOT SIGN THIS AGREEMENT. Customer Information Authorized Signer Information (if Customer is not present at Installation) Customer Signature: Date: Authorized Signer’s Signature: Date: By signature I affirm that the Customer has authorized me to establish an account in the Customer’s name. 1. The Serviceconstitute wrongful dishonor.

Appears in 4 contracts

Samples: Membership Agreement, Membership Agreement, Membership Agreement

Payment Authorization. You authorize Viasat to charge your credit card or debit card (“Card Payment”), or initiate an electronic funds transfer out of your bank account (“EFT Payment”) for payment of all or any portion of your Service fees, the Termination Fee, if applicable (and/or any other applicable termination fee) and any other amounts payable under this Agreement, until such amounts are paid in full, unless you live in a state where Viasat is required under applicable law to accept another method of payment or Viasat has agreed to accept another method of payment from you. This Agreement has 20 19 pages and incorporates Viasat’s Data Allowance Policy, Bandwidth Usage Policy, Unlimited Data Policy, Privacy Policies, Acceptable Use Policy, Network Management Policy, Viasat Shield Application End User Terms and Conditions Agreement, and your Internet Service plan details and restrictions as posted on xxx.xxxxxx.xxx/xxxxx. In addition, if you are leasing your Equipment, receiving Voice, receiving Services through our Recovery Act Program, receiving Services through the CAF-II program, and/or receiving the Affordable Connectivity Program or Lifeline discounts, the Agreement incorporates, as applicable, the Lease Addendum, the EasyCare Addendum, the Voice Addendum, the Recovery Act Addendum, the Affordable Connectivity Program Addendum, the CAF-II Addendum, and/or the CAF-II Lifeline Addendum. You acknowledge that you have received, read, understand and agree to be bound by all of the terms and conditions set forth on each of the pages of this Agreement and the incorporated documents, as each of them may be updated from time to time. If you did not receive Sections 1 through 8 of this Agreement, Exhibit A, and, if applicable, the Lease Addendum, the EasyCare Addendum, the Voice Addendum, the Recovery Act Addendum and/or the Affordable Connectivity Program Addendum, the CAF-II Addendum, and/or the CAF-II Lifeline Addendum, DO NOT SIGN THIS AGREEMENT. Customer Information Authorized Signer Information (if Customer is not present at Installation) Customer Signature: Date: Authorized Signer’s Signature: Date: By signature I affirm that the Customer has authorized me to establish an account in the Customer’s name. 1. The Service.

Appears in 2 contracts

Samples: Customer Agreement, Customer Agreement

Payment Authorization. You authorize Viasat Northland Connect to charge your credit card or debit card (“Card Payment”), or initiate an electronic funds transfer out of your bank account (“EFT Payment”) for payment of all or any portion of your Service fees, the Termination Fee, if applicable Fee (and/or any other applicable termination fee) and any other amounts payable under this Agreement, until such amounts are paid in full, unless you live in a state where Viasat Northland Connect is required under applicable law to accept another method of payment or Viasat Northland Connect has agreed to accept another method of payment from you. This Agreement has 20 pages also incorporates “Exhibit A” – the Data Usage and incorporates Viasat’s Data Allowance Policy, Bandwidth Usage Policy, Unlimited Data Policy, Privacy Policies, Acceptable Use Policy, Network Management Policy, Viasat Shield Application End User Terms and Conditions Agreement, and your Internet Service plan details and restrictions as posted on xxx.xxxxxx.xxx/xxxxxVideo Streaming Quality Explanations. In addition, if you are leasing your Equipment, receiving Voice, receiving Services through our Recovery Act Program, receiving Services through the CAF-II program, and/or receiving the Affordable Connectivity Program or Lifeline discounts, the Agreement incorporates, as applicable, equipment you should receive a copy of the Lease Addendum, the EasyCare Addendum, the Voice Addendum, the Recovery Act Addendum, the Affordable Connectivity Program Addendum, the CAF-II Addendum, and/or the CAF-II Lifeline Addendum and Extended Protection Plan Addendum. You acknowledge that you have received, read, understand and agree to be bound by all of the terms and conditions set forth on each of the pages of this Agreement and the incorporated documents, as each of them may be updated from time to timeThe Extended Protection Plan is include in your lease fee. If you did not purchased your equipment you should receive Sections 1 through 8 a copy of this Agreement, Exhibit A, and, if applicable, the Lease “Extended Protection Plan” Addendum, . We highly recommend signing up for the EasyCare Addendum, Protection Plan to avoid high service call costs after the Voice Addendum, the Recovery Act Addendum and/or the Affordable Connectivity Program Addendum, the CAF-II Addendum, and/or the CAF-II Lifeline Addendum, DO NOT SIGN THIS AGREEMENTwarranties expire. Customer Information Authorized Signer Information CUSTOMER INFORMATION AUTHORIZED SIGNER INFORMATION (if Customer is not present at Installation) Customer Signature: Date: Print Customer Name: Street Address: Date: Print Authorized Signer’s SignatureName: DateRelationship to Customer: By signature I affirm that Data Allowance (GB) (Combined Upload and Download) 10 Measured Unlimited access to web pages and email and, depending on the Customer has authorized me service plan selected, either 5 GB, 10 over a Data Allowance (GB) GB or 20 GB of data for everything else (see xxx.xxxxx.xxx/xxxxxxxxx/xxxxxx/xxxx-xxxxxxxxx- fixed (Combined Upload and policy.pdf for complete details) monthly period Download) Liberty Plan customers who exceed their Priority Data limit will receive Liberty Pass for the remainder of their monthly billing period. Liberty Pass speeds are slower than Priority Data speeds and may be extremely slow when the network is busy, which may greatly impair internet usage. Heavier users of Liberty Pass may be slowed to establish an account a larger extent than lighter users. (See xxx.xxxxx.xxx/xxxxxxxxx/xxxxxx/xxxx-xxxxxxxxx-xxxxxx.xxx for complete details) over a Data Allowance (GB) fixed (Combined Upload and monthly Download) Measured If you use greater than 150 GB of data during a monthly billing period, certain speeds will be slowed, over a fixed monthly No Strict Data Allowance as described in the Customer’s nameBandwidth Usage Policy. 1In addition, Northland Connect may request that you reduce your monthly usage below 150 GB or transition to another plan. If you do neither, we may terminate your service. (See xxxx://xxx.xxxxx.xxx/documents/master/bandwidth-usage-policy.pdf Measured After 150GB of data usage, we may prioritize your data behind other customers during network over a congestion, which will result in slower speeds as described in the Unlimited Data Policy. (See fixed No Data Allowance xxxxx://xxx.xxxxx.xxx/documents/master/unlimited-data-policy.pdf for complete details) period Bronze 12, Silver 12, Silver 25, Gold 12, Gold 30, Gold 50, Platinum 100 (purchased on or after February 14, 2018) Measured After 40 GB of data usage for Bronze 12; 60 GB of data usage for Silver 12 and 25; 100 GB of data over a usage for Gold 12, 30 and 50; and 150 GB of data usage for Platinum 100, we may prioritize your fixed No Data Allowance data behind other customers during network congestion, which will result in slower speeds as monthly described in the Unlimited Data Policy. (See xxxxx://xxx.xxxxx.xxx/documents/master/unlimited- period data-policy.pdf for complete details) Measured over a rolling 30-day period Value Pak Select Pak Pro Pak Upload Threshold (MB) 2,300 3,000 5,000 Download Threshold (MB) 7,500 12,000 17,000 Any Bronze Service plan Small screen quality (typically up to 360p) Any Silver Service plan DVD quality (typically up to 480p) Any Gold Service plan High-definition quality (typically up to 720p) Any Platinum Service plan Full High-definition quality (typically up to 1080p) All Essential 10, Evolution, Liberty, Freedom, Basic 12 and Exede Classic plans have the Video Data Extender. The ServiceVideo Data Extender is a feature that streams video at DVD quality (optimized for 480p), which allows you to get more out of your monthly data allowance or other data threshold. Not all video sources are identifiable and available to benefit from the Video Data Extender. The feature is turned on by default. You can turn the Video Data Extender off or on at any time by visiting xxxx://xxxxxxx.Xxxxxxxxx Xxxxxxx.xxx.

Appears in 2 contracts

Samples: Customer Agreement, Customer Agreement

Payment Authorization. You authorize Viasat to charge your credit card or debit card (“Card Payment”³&DUG 3´D), or initiate an o\rPinHitiQateWan electronic funds transfer out of your bank account (“EFT Payment”) for payment of all or any portion of your Service feesEDQN DFFRXQW ³()7 3D\PHQW´ IRoUf yoSurDS\erPvicHeQfeWes , the Termination FeetRheIT erDmOinOati onRFUee , if applicable (and/or any Dif aQp\pli caSblRe U(anWdL/xXx aQny other applicable termination fee) and any other amounts payable under this Agreement, until such amounts are paid in full, unless you live in a state where Viasat is required under applicable law to accept another method of payment or Viasat has agreed to accept another method of payment from you. This Agreement has 20 19 pages and incorporates Viasat’s Data Allowance Policy, Bandwidth Usage PolicyViasat¶V 'DWD $OORy,ZBDanQdwFiHdth U3sRagOe LPoFlicy, Unlimited Data Policy, Privacy Policies, Acceptable Use Policy, Network Management Policy, Viasat Shield Application End User Terms and Conditions Agreement, and your Internet Service plan details and restrictions as posted on xxx.xxxxxx.xxx/xxxxx. In addition, if you are leasing your Equipment, receiving Voice, receiving Services through our Recovery Act Program, receiving Services through the CAF-II program, and/or receiving the Affordable Connectivity Program or Lifeline discounts, the Agreement incorporates, as applicable, the Lease Addendum, the EasyCare Addendum, the Voice Addendum, the Recovery Act Addendum, the Affordable Connectivity Program Addendum, the CAF-II Addendum, and/or the CAF-II Lifeline Addendum. You acknowledge that you have received, read, understand and agree to be bound by all of the terms and conditions set forth on each of the pages of this Agreement and the incorporated documents, as each of them may be updated from time to time. If you did not receive Sections 1 through 8 of this Agreement, Exhibit A, and, if applicable, the Lease Addendum, the EasyCare Addendum, the Voice Addendum, the Recovery Act Addendum and/or the Affordable Connectivity Program Addendum, the CAF-II Addendum, and/or the CAF-II Lifeline Addendum, DO NOT SIGN THIS AGREEMENT. Customer Information Authorized Signer Information (if Customer is not present at Installation) Customer Signature: $XWKRUL]HG 6LJ Date: Authorized Signer’s SignaturePrint Customer Name: DateStreet Address: By signature I affirm that the Customer has authorized me 3ULQW $XWKRUL]H Relationship to establish an account in the Customer’s name. 1. The Service.:

Appears in 2 contracts

Samples: Customer Agreement, Customer Agreement

Payment Authorization. You authorize Viasat to charge your credit card or debit card (“Card Payment”), or initiate an electronic funds transfer out of your bank account (“EFT Payment”) for payment of all or any portion of your Service fees, the Termination Fee, if applicable (and/or any other applicable termination fee) and any other amounts payable under this Agreement, until such amounts are paid in full, unless you live in a state where Viasat is required under applicable law to accept another method of payment or Viasat has agreed to accept another method of payment from you. This Agreement has 20 15 pages and incorporates Viasat’s Data Allowance Policy, Bandwidth Usage Policy, Unlimited Data Policy, Privacy Policies, Acceptable Use Policy, Network Management Policy, Viasat Shield Application End User Terms and Conditions Agreement, Email End User License Agreement, and your Internet Service plan details and restrictions as posted on xxx.xxxxxx.xxx/xxxxx. In addition, if you are leasing your Equipment, receiving Voice, receiving Services through our Recovery Act Program, receiving Services through the CAF-II program, and/or receiving the Affordable Connectivity Emergency Broadband Benefit Program or Lifeline discountsdiscount, the Agreement incorporates, as applicable, the Lease Addendum, the EasyCare Addendum, the Voice Addendum, the Recovery Act Addendum, the Affordable Connectivity Program Addendum, the CAF-II Addendum, Addendum and/or the CAF-II Lifeline Emergency Broadband Benefit Program Addendum. You acknowledge that you have received, read, understand and agree to be bound by all of the terms and conditions set forth on each of the pages of this Agreement and the incorporated documents, as each of them may be updated from time to time. If you did not receive Sections 1 through 8 of this Agreement, Exhibit A, and, if applicable, the Lease Addendum, the EasyCare Addendum, the Voice Addendum, the Recovery Act Addendum and/or the Affordable Connectivity Emergency Broadband Benefit Program Addendum, the CAF-II Addendum, and/or the CAF-II Lifeline Addendum, DO NOT SIGN THIS AGREEMENT. Customer Information Authorized Signer Information CUSTOMER INFORMATION AUTHORIZED SIGNER INFORMATION (if Customer is not present at Installation) Customer Signature: Date: Authorized Signer’s Signature: Date: By signature I affirm that the Customer has authorized Date: me to establish an account in the Customer’s name. Date: 1. The Service.

Appears in 2 contracts

Samples: Customer Agreement, Customer Agreement

Payment Authorization. You To the extent permitted by law, you hereby authorize Viasat us to charge your credit card initiate separate EFT/Credit Card charges from the account you identify and/or any replacement or debit card (“Card Payment”), or initiate an electronic funds transfer out of your bank substitute account (the EFT PaymentAccount”) for the following amounts: (1) the payments shown above; (2) your monthly training fees and the cost of any monthly Services Add-Ons; (3) a $5 “no show” fee for failure to cancel a reservation at least 1 hour prior to the class start time; (4) a $25 returned item fee for any EFT charge that is returned unpaid or on a credit/debit card return; and (5) any other fee for Personal Training or other goods or services we provide you from time to time if you instruct us orally or in writing to xxxx the charge to your Account on file, as authorized by you at that time. You may cancel your EFT/Credit Card authorization for the payment of all monthly dues by giving us 30 days written notice of cancellation per the terms of this Agreement. I understand that these charges, listed above, will appear on my credit card statement and/or bank statement under the name of 5th GEAR FITNESS and I accept full financial responsibility for payment of these charges. I certify that the information that is stated above is true and accurate. The payments shall be drawn on or about the date or dates of the Payment Plan. The transactions on your bank statement will constitute receipts for payment on your account. I also agree to contact 5th GEAR FITNESS about any portion matter of your Service feeschargeback or stop payment that may pertain to this agreement in order to attempt to resolve the matter prior to stopping payment or charging back payment(s). If any negative action is taken and the action is ruled in favor of 5th GEAR FITNESS and the cardholder/bank account owner did not contact 5th GEAR FITNESS prior to the negative action, the Termination Fee, if applicable cardholder/account owner will be legally liable for all items and fees as noted above. 5th GEAR FITNESS may be reached at 813-662-4044. 5th GEAR FITNESS (and/or any other applicable termination feeThe Club) hereby reserves the right to change the Designated Billing Company at their discretion and any other amounts payable under this Agreement, until without warning or notice. If such amounts are paid in full, unless you live in a state where Viasat change is required under applicable law to accept another method of payment or Viasat has agreed to accept another method of payment from you. This Agreement has 20 pages and incorporates Viasat’s Data Allowance Policy, Bandwidth Usage Policy, Unlimited Data Policy, Privacy Policies, Acceptable Use Policy, Network Management Policy, Viasat Shield Application End User Terms and Conditions Agreement, and your Internet Service plan details and restrictions as posted on xxx.xxxxxx.xxx/xxxxx. In addition, if you are leasing your Equipment, receiving Voice, receiving Services through our Recovery Act Program, receiving Services through the CAF-II program, and/or receiving the Affordable Connectivity Program or Lifeline discountsmade, the Agreement incorporates, as applicable, the Lease Addendum, the EasyCare Addendum, the Voice Addendum, the Recovery Act Addendum, the Affordable Connectivity Program Addendum, the CAF-II Addendum, and/or the CAF-II Lifeline Addendum. You acknowledge that you have received, read, understand and agree to be bound by all of the full terms and conditions set forth on each of the pages of this Agreement will continue to apply and you agree to authorize the incorporated documents, as each of them may be updated from time new Designated Billing Company to time. If you did not receive Sections 1 through 8 of this Agreement, Exhibit A, and, if applicable, the Lease Addendum, the EasyCare Addendum, the Voice Addendum, the Recovery Act Addendum and/or the Affordable Connectivity Program Addendum, the CAF-II Addendum, and/or the CAF-II Lifeline Addendum, DO NOT SIGN THIS AGREEMENT. Customer Information Authorized Signer Information (if Customer is not present at Installation) Customer Signature: Date: Authorized Signer’s Signature: Date: By signature I affirm that the Customer has authorized me to establish an account in the Customer’s name. 1. The Servicecontinue drafting your account.

Appears in 1 contract

Samples: Client Agreement

Payment Authorization. You authorize Viasat to charge your credit card or debit card (“Card Payment”), or initiate an electronic funds transfer out of your bank account (“EFT Payment”) for payment of all or any portion of your Service fees, the Termination Fee, if applicable (and/or any other applicable termination fee) and any other amounts payable under this Agreement, until such amounts are paid in full, unless you live in a state where Viasat is required under applicable law to accept another method of payment or Viasat has agreed to accept another method of payment from you. This Agreement has 20 14 pages and incorporates Viasat’s Data Allowance Policy, Bandwidth Usage Policy, Unlimited Data Policy, Privacy Policies, Acceptable Use Policy, Network Management Policy, Viasat Shield Application End User Terms and Conditions Agreement, Email End User License Agreement, and your Internet Service plan details and restrictions as posted on xxx.xxxxxx.xxx/xxxxx. In addition, if you are leasing your Equipment, receiving Voice, and/or are receiving Services through our Recovery Act Program, receiving Services through the CAF-II program, and/or receiving the Affordable Connectivity Program or Lifeline discounts, the Agreement incorporates, as applicable, the Lease Addendum, the EasyCare Addendum, the Voice Addendum, and/or the Recovery Act Addendum, the Affordable Connectivity Program Addendum, the CAF-II Addendum, and/or the CAF-II Lifeline Addendum. You acknowledge that you have received, read, understand and agree to be bound by all of the terms and conditions set forth on each of the pages of this Agreement and the incorporated documents, as each of them may be updated from time to time. If you did not receive Sections 1 through 8 of this Agreement, Exhibit A, and, if applicable, the Lease Addendum, the EasyCare Addendum, the Voice Addendum, and/or the Recovery Act Addendum and/or the Affordable Connectivity Program Addendum, the CAF-II Addendum, and/or the CAF-II Lifeline Addendum, DO NOT SIGN THIS AGREEMENT. Customer Information Authorized Signer Information CUSTOMER INFORMATION AUTHORIZED SIGNER INFORMATION (if Customer is not present at Installation) Customer Signature: Date: Authorized Signer’s Signature: Date: By signature I affirm that the Customer has authorized Date: me to establish an account in the Customer’s name. Date: 1. The Service.

Appears in 1 contract

Samples: Customer Agreement

Payment Authorization. You I authorize Viasat my bank to charge your credit card debit my account as identified above to the terms stated here. This authorization shall remain in effect until the Purchaser and bank receive written notification from me of intent to terminate at such time and in such manner as to afford the Purchaser and bank reasonable opportunity to act (minimum 30 days). I understand that if the total amount owed to the Purchaser is increased, I authorize this plan to continue as long as the payment amount remains unchanged until the amount owed the Purchaser is paid off, or debit card unless the plan is terminated earlier by me as above. I understand any added amounts can be applied for with a new ACH Debit Authorization Form. All other changes such as payment amount, frequency, bank account number change, will require a new ACH Debit Payment Authorization Form to be filled out and submitted to Merchant 15 days prior to any change being implemented. I will be liable to pay an NSF fee of $25.00 (“Card Payment”or the amount allowable by law), which may be automatically debited for each NSF.I represent and warrant that I am authorized to execute this payment authorization for the purpose of implementing this payment plan. I indemnify and hold the Purchaser and the bank harmless from damage, loss or initiate an electronic funds transfer out claim resulting from all authorized actions hereunder. Payments will be scheduled daily in the amount of your bank account (“EFT Payment”) for payment of all or any portion of your Service fees, the Termination Fee, if applicable (and/or any other applicable termination fee) and any other amounts payable under this Agreement, until such amounts are paid in full, unless you live in a state where Viasat is required under applicable law to accept another method 4,714.29. Recurring schedule of payment or Viasat has agreed will start on the following day after the financing proceeds are disbursed to accept another method the business. Payments will be deducted every day, excluding weekends until full payback amount, referred to as the Purchased Amount (594,000.00), is reached. Routing Number Account: Number Account Name: Bank Name: Type of payment from you. This Agreement has 20 pages and incorporates Viasat’s Data Allowance Policy, Bandwidth Usage Policy, Unlimited Data Policy, Privacy Policies, Acceptable Use Policy, Network Management Policy, Viasat Shield Application End User Terms and Conditions Agreement, and your Internet Service plan details and restrictions as posted on xxx.xxxxxx.xxx/xxxxx. In addition, if you are leasing your Equipment, receiving Voice, receiving Services through our Recovery Act Program, receiving Services through the CAFAccount: Checking Savings Merchants Legal Name: DIGITAL POWER CORPORATION View-II program, and/or receiving the Affordable Connectivity Program or Lifeline discounts, the Agreement incorporates, as applicable, the Lease Addendum, the EasyCare Addendum, the Voice Addendum, the Recovery Act Addendum, the Affordable Connectivity Program Addendum, the CAF-II Addendum, and/or the CAF-II Lifeline Addendum. You acknowledge that you have received, read, understand and agree Only Access to be bound by all of the terms and conditions set forth on each of the pages of this Agreement and the incorporated documents, as each of them may be updated from time to time. If you did not receive Sections 1 through 8 of this Agreement, Exhibit A, and, if applicable, the Lease Addendum, the EasyCare Addendum, the Voice Addendum, the Recovery Act Addendum and/or the Affordable Connectivity Program Addendum, the CAF-II Addendum, and/or the CAF-II Lifeline Addendum, DO NOT SIGN THIS AGREEMENT. Customer Information Authorized Signer Information (if Customer is not present at Installation) Customer SignatureOnline Bank Login: Password: Date: Authorized Signer’s 1/18/2018 FOR THE MERCHANT (DIGITAL POWER CORPORATION) by: Mxxxxx Xxxx X /s/ Mxxxxx Xxxx (Print Name and Title) (Signature) by: Date: By signature I affirm that the Customer has authorized me to establish an account in the Customer’s name. 1. The Service.Kxxxxxxx Xxxx X /s/ Kxxxxxxx Xxxx (Print Name and Title) (Signature)

Appears in 1 contract

Samples: Future Receivables Sale Agreement (DPW Holdings, Inc.)

Payment Authorization. You authorize Viasat to charge your credit card or debit card (“Card Payment”³&DUG 3´D), or initiate an o\rPinHitiQateWan electronic funds transfer out of your bank account (“EFT Payment”) for payment of all or any portion of your Service feesEDQN DFFRXQW ³()7 3D\PHQW´ IRoUf yoSurDS\erPvicHeQfeWes, the Termination FeetRheITerDmOinOationRFUee, if applicable (and/or any Dif aQp\plicaSblRe U(anWdL/xXx aQny other applicable termination fee) and any other amounts payable under this Agreement, until such amounts are paid in full, unless you live in a state where Viasat is required under applicable law to accept another method of payment or Viasat has agreed to accept another method of payment from you. This Agreement has 20 15 pages and incorporates Viasat’s Data Allowance Policy, Bandwidth Usage PolicyViasat{V 'DWD $OORy,ZBDanQdwFiHdth U3sRagOe LPoFlicy, Unlimited Data Policy, Privacy Policies, Acceptable Use Policy, Network Management Policy, Viasat Shield Application End User Terms and Conditions Agreement, Email End User License Agreement, and your Internet Service plan details and restrictions as posted on xxx.xxxxxx.xxx/xxxxx. In addition, if you are leasing your Equipment, receiving Voice, receiving Services through our Recovery Act Program, receiving Services through the CAF-II program, and/or receiving the Affordable Connectivity Emergency Broadband Benefit Program or Lifeline discountsdiscount, the Agreement incorporates, as applicable, the Lease Addendum, the EasyCare Addendum, the Voice Addendum, the Recovery Act Addendum, the Affordable Connectivity Program Addendum, the CAF-II Addendum, Addendum and/or the CAF-II Lifeline Emergency Broadband Benefit Program Addendum. You acknowledge that you have received, read, understand and agree to be bound by all of the terms and conditions set forth on each of the pages of this Agreement and the incorporated documents, as each of them may be updated from time to time. If you did not receive Sections 1 through 8 of this Agreement, Exhibit A, and, if applicable, the Lease Addendum, the EasyCare Addendum, the Voice Addendum, the Recovery Act Addendum and/or the Affordable Connectivity Emergency Broadband Benefit Program Addendum, the CAF-II Addendum, and/or the CAF-II Lifeline Addendum, DO NOT SIGN THIS AGREEMENT. Customer Information Authorized Signer Information CUSTOMER INFORMATION AUTHORIZED SIGNER INFORMATION (if Customer is not present at Installation) Customer Signature: $XWKRUL]HG 6LJ Date: Authorized Signer’s SignaturePrint Customer Name: DateStreet Address: By signature I affirm that the Customer has authorized me 3ULQW $XWKRUL]H Relationship to establish an account in the Customer’s name. 1. The Service.:

Appears in 1 contract

Samples: Customer Agreement

Payment Authorization. You authorize Viasat to charge your credit card or debit card (“Card Payment”³&DUG 3´D), or initiate an o\rPinHitiQateWan electronic funds transfer out of your bank account (“EFT Payment”) for payment of all or any portion of your Service feesEDQN DFFRXQW ³()7 3D\PHQW´ IRoUf yoSurDS\erPvicHeQfeWes , the Termination FeetRheIT erDmOinOati onRFUee , if applicable (and/or any Dif aQp\pli caSblRe U(anWdL/xXx aQny other applicable termination fee) and any other amounts payable under this Agreement, until such amounts are paid in full, unless you live in a state where Viasat is required under applicable law to accept another method of payment or Viasat has agreed to accept another method of payment from you. This Agreement has 20 pages and incorporates Viasat’s Data Allowance Policy, Bandwidth Usage PolicyViasat¶V 'DWD $OORy,ZBDanQdwFiHdth U3sRagOe LPoFlicy, Unlimited Data Policy, Privacy Policies, Acceptable Use Policy, Network Management Policy, Viasat Shield Application End User Terms and Conditions Agreement, and your Internet Service plan details and restrictions as posted on xxx.xxxxxx.xxx/xxxxx. In addition, if you are leasing your Equipment, receiving Voice, receiving Services through our Recovery Act Program, receiving Services through the CAF-II program, and/or receiving the Affordable Connectivity Program or Lifeline discounts, the Agreement incorporates, as applicable, the Lease Addendum, the EasyCare Addendum, the Voice Addendum, the Recovery Act Addendum, the Affordable Connectivity Program Addendum, the CAF-II Addendum, and/or the CAF-II Lifeline Addendum. You acknowledge that you have received, read, understand and agree to be bound by all of the terms and conditions set forth on each of the pages of this Agreement and the incorporated documents, as each of them may be updated from time to time. If you did not receive Sections 1 through 8 of this Agreement, Exhibit A, and, if applicable, the Lease Addendum, the EasyCare Addendum, the Voice Addendum, the Recovery Act Addendum and/or the Affordable Connectivity Program Addendum, the CAF-II Addendum, and/or the CAF-II Lifeline Addendum, DO NOT SIGN THIS AGREEMENT. Customer Information Authorized Signer Information (if Customer is not present at Installation) Customer Signature: Authorized Sig Date: Authorized Signer’s SignaturePrint Customer Name: DateStreet Address: By signature I affirm that the Customer has authorized me to establish an account in the Customer’s name. 1. The Service.

Appears in 1 contract

Samples: Customer Agreement

Payment Authorization. You As the owner of the account above, I authorize Viasat Crunch LA, LLC to charge your my credit card account listed above, or to debit card my deposit account listed above by Electronic Funds Transfer (“Card PaymentEFT) or by debit card, for all applicable fees incurred in connection with my Crunch membership, including but not limited to Monthly dues, Annual Fee, Member Day Fee (s), or initiate an electronic funds transfer out of your bank account Group Fitness late / no show fees and incidental charges. Crunch LA, LLC shall notify me by email at least ten (“EFT Payment”10) for payment of all or any portion of your Service fees, the Termination Fee, if applicable (and/or any other applicable termination fee) and any other amounts payable under this Agreement, until such amounts are paid in full, unless you live in a state where Viasat is required under applicable law to accept another method of days before each Member Day Fee payment or Viasat has agreed to accept another method of payment non-scheduled incidental charge or other charge is deducted from you. This Agreement has 20 pages and incorporates Viasat’s Data Allowance Policy, Bandwidth Usage Policy, Unlimited Data Policy, Privacy Policies, Acceptable Use Policy, Network Management Policy, Viasat Shield Application End User Terms and Conditions Agreement, and your Internet Service plan details and restrictions as posted on xxx.xxxxxx.xxx/xxxxx. In addition, if you are leasing your Equipment, receiving Voice, receiving Services through our Recovery Act Program, receiving Services through the CAF-II program, and/or receiving the Affordable Connectivity Program or Lifeline discounts, the Agreement incorporates, as applicable, the Lease Addendum, the EasyCare Addendum, the Voice Addendum, the Recovery Act Addendum, the Affordable Connectivity Program Addendum, the CAF-II Addendum, and/or the CAF-II Lifeline Addendum. You acknowledge that you have received, read, understand and agree to be bound my account by all of the terms and conditions set forth on each of the pages of this Agreement and the incorporated documents, as each of them may be updated from time to time. If you did not receive Sections 1 through 8 of this Agreement, Exhibit A, andEFT, if applicable. By signing below, I agree to such electronic delivery of notices. Furthermore, I understand that my ongoing consent to receive such notices in an electronic format is voluntary and may be revoked at any time by contacting Crunch LA, LLC. If there is any change in my account information for this payment authorization, I will promptly notify Crunch LA, LLC in writing or update my account information on the Crunch website member portal. This EFT authorization remains in full effect until my Crunch membership expires or my Crunch Membership Agreement has been cancelled pursuant to the terms thereof You, the Lease Addendumbuyer, may cancel this agreement at any time prior to midnight of the fifth business day of the health studio after the date of this agreement, excluding Sundays and holidays. To cancel, mail, email, or deliver a signed and dated notice that states that you, the EasyCare Addendumbuyer, are cancelling this agreement, or words of similar effect. The notice shall be sent via first-class mail to: Crunch LA, LLC Attn. Member Services, Xxx Xxxxxxx Xxxxxxx, XX Xxx 0000, Xxx Xxxx, XX 00000, via email from an email address on file with the health studio or hand deliver to the club facility. Crunch email: xxxxxxxx@xxxxxx.xxx. You, the Voice Addendumbuyer, may cancel this agreement and obtain a pro rata refund: (1) within 20 days of the Recovery Act Addendum and/or contract’s execution if the Affordable Connectivity Program Addendumcontract requires payment of $1,500-$2,000; (2) within 30 days of the contract’s execution if the contract requires the payment of $2,001 to $2,500; or (3) within 45 days of the contract’s execution if the contract requires the payment of $2,501 or more, the CAF-II Addenduminclusive, and/or the CAF-II Lifeline Addendum, DO NOT SIGN THIS AGREEMENT. Customer Information Authorized Signer Information (if Customer is not present at Installation) Customer Signature: Date: Authorized Signer’s Signature: Date: By signature I affirm that the Customer has authorized me to establish an account in the Customer’s name. 1. The Serviceincluding initiation fees or initial membership fees.

Appears in 1 contract

Samples: Membership Agreement

Payment Authorization. You authorize Viasat to charge your credit card or debit card (“Card Payment”³&DUG 3´D), or initiate an o\rPinHitiQateWan electronic funds transfer out of your bank account (“EFT Payment”) for payment of all or any portion of your Service feesEDQN DFFRXQW ³()7 3D\PHQW´ IRoUf yoSurDS\erPvicHeQfeWes , the Termination FeetRheIT erDmOinOati onRFUee , if applicable (and/or any Dif aQp\pli caSblRe U(anWdL/xXx aQny other applicable termination fee) and any other amounts payable under this Agreement, until such amounts are paid in full, unless you live in a state where Viasat is required under applicable law to accept another method of payment or Viasat has agreed to accept another method of payment from you. This Agreement has 20 pages and incorporates Viasat’s Data Allowance Policy, Bandwidth Usage PolicyViasat¶V 'DWD $OORy,ZBDanQdwFiHdth U3sRagOe LPoFlicy, Unlimited Data Policy, Privacy Policies, Acceptable Use Policy, Network Management Policy, Viasat Shield Application End User Terms and Conditions Agreement, and your Internet Service plan details and restrictions as posted on xxx.xxxxxx.xxx/xxxxx. In addition, if you are leasing your Equipment, receiving Voice, receiving Services through our Recovery Act Program, receiving Services through the CAF-II program, and/or receiving the Affordable Connectivity Program or Lifeline discounts, the Agreement incorporates, as applicable, the Lease Addendum, the EasyCare Addendum, the Voice Addendum, the Recovery Act Addendum, the Affordable Connectivity Program Addendum, the CAF-II Addendum, and/or the CAF-II Lifeline Addendum. You acknowledge that you have received, read, understand and agree to be bound by all of the terms and conditions set forth on each of the pages of this Agreement and the incorporated documents, as each of them may be updated from time to time. If you did not receive Sections 1 through 8 of this Agreement, Exhibit A, and, if applicable, the Lease Addendum, the EasyCare Addendum, the Voice Addendum, the Recovery Act Addendum and/or the Affordable Connectivity Program Addendum, the CAF-II Addendum, and/or the CAF-II Lifeline Addendum, DO NOT SIGN THIS AGREEMENT. Customer Information Authorized Signer Information (if Customer is not present at Installation) Customer Signature: $XWKRUL]HG 6LJ Date: Authorized Signer’s SignaturePrint Customer Name: DateStreet Address: By signature I affirm that the Customer has authorized me 3ULQW $XWKRUL]H Relationship to establish an account in the Customer’s name. 1. The Service.:

Appears in 1 contract

Samples: Customer Agreement

Payment Authorization. You authorize Viasat to charge your credit card or debit card (“Card Payment”), or initiate an electronic funds transfer out of your bank account (“EFT Payment”) for payment of all or any portion of your Service fees, the Termination Fee, if applicable (and/or any other applicable termination fee) and any other amounts payable under this Agreement, until such amounts are paid in full, unless you live in a state where Viasat is required under applicable law to accept another method of payment or Viasat has agreed to accept another method of payment from you. This Agreement has 20 14 pages and incorporates Viasat’s Data Allowance Policy, Bandwidth Usage Policy, Unlimited Data Policy, Privacy Policies, Acceptable Use Policy, Network Management Policy, Viasat Shield Application End User Terms and Conditions Agreement, Email End User License Agreement, and your Internet Service plan details and restrictions as posted on xxx.xxxxxx.xxx/xxxxx. In addition, if you are leasing your Equipment, receiving Voice, receiving Premier Tech Support and/or are receiving Services through our Recovery Act Program, receiving Services through the CAF-II program, and/or receiving the Affordable Connectivity Program or Lifeline discounts, the Agreement incorporates, as applicable, the Lease Addendum, the EasyCare Addendum, the Voice Addendum, the Premier Tech Support Addendum and/or the Recovery Act Addendum, the Affordable Connectivity Program Addendum, the CAF-II Addendum, and/or the CAF-II Lifeline Addendum. You acknowledge that you have received, read, understand and agree to be bound by all of the terms and conditions set forth on each of the pages of this Agreement and the incorporated documents, as each of them may be updated from time to time. If you did not receive Sections 1 through 8 of this Agreement, Exhibit A, and, if applicable, the Lease Addendum, the EasyCare Addendum, the Voice Addendum, the Recovery Act Premier Tech Support Addendum and/or the Affordable Connectivity Program Addendum, the CAF-II Addendum, and/or the CAF-II Lifeline Recovery Act Addendum, DO NOT SIGN THIS AGREEMENT. Customer Information Authorized Signer Information CUSTOMER INFORMATION AUTHORIZED SIGNER INFORMATION (if Customer is not present at Installation) Customer Signature: Date: Authorized Signer’s Signature: Date: By signature I affirm that the Customer has authorized Date: me to establish an account in the Customer’s name. Date: 1. The Service.

Appears in 1 contract

Samples: Customer Agreement

AutoNDA by SimpleDocs

Payment Authorization. You authorize Viasat GPC to charge your credit card or debit card (“Card Payment”), ) or initiate an electronic funds transfer out of your bank account (“EFT Payment”) for payment of all or any portion of your Service fees, the Termination Fee, if applicable (and/or any other applicable termination fee) , and any other amounts payable under this Agreement, until such amounts are paid in full, unless you live in a state where Viasat GPC is required under applicable law to accept another method of payment or Viasat GPC has agreed to accept another method of payment from you. This Agreement has 20 14 pages and incorporates the Terms and Conditions that follow, Viasat’s Data Allowance Policy, Bandwidth Usage Policy, Unlimited Data Policy, Privacy Policies, Acceptable Use Policy, Network Management Policy, Viasat Shield Application End User Terms and Conditions Agreement, and your Internet Service plan details and restrictions as posted on xxx.xxxxxx.xxx/xxxxxthe applicable Viasat website: xxx.xxxxx.xxx or xxx.xxxxxx.xxx/xxxxxxxx. In addition, if you are leasing your Equipment, receiving Voice, receiving Services through our Recovery Act Program, receiving Services through the CAF-II program, and/or receiving the Affordable Connectivity Program subscribe to a Service Assurance Plan or Lifeline discountsreceive Tech Home, the Agreement incorporatesincorporates the Service Assurance Plan Addendum and/or the Tech Home Addendum, as applicable, the Lease Addendum, the EasyCare Addendum, the Voice Addendum, the Recovery Act Addendum, the Affordable Connectivity Program Addendum, the CAF-II Addendum, and/or the CAF-II Lifeline Addendum. You acknowledge that you have received, read, understand and agree to be bound by all of the terms and conditions set forth on each of the pages of in this Agreement and the incorporated documents, as each of them may be updated from time to time. If you did not receive the Terms and Conditions (Sections 1 through 8 of 8) to this Agreement, Exhibit A, and, if applicable, the Lease Addendum, the EasyCare Addendum, the Voice Addendum, the Recovery Act Addendum and/or the Affordable Connectivity Program Addendum, the CAF-II Addendum, and/or the CAF-II Lifeline Addendumand applicable addendums, DO NOT SIGN THIS AGREEMENT. Customer Information Signature Customer Printed Name Date Street Address Account Number Customer Telephone Authorized Signer Information (if Signature Authorized Signer Printed Name Date Relationship to Customer is not present at Installation) Customer Signature: Date: Authorized SignerInstaller’s Signature: Date: By signature I affirm that the Customer has authorized me Signature Date After signing please return this form to establish an account in the CustomerGPC’s name. 1. The ServiceInternet Service Center.

Appears in 1 contract

Samples: Customer Agreement

Payment Authorization. You authorize Viasat to charge your credit card or debit card (“Card Payment”³&DUG 3´D), or initiate an o\rPinHitiQateWan electronic funds transfer out of your bank account (“EFT Payment”) for payment of all or any portion of your Service feesEDQN DFFRXQW ³()7 3D\PHQW´ IRoUf yoSurDS\erPvicHeQfeWes, the Termination FeetRheITerDmOinOationRFUee, if applicable (and/or any Dif aQp\plicaSblRe U(anWdL/xXx aQny other applicable termination fee) and any other amounts payable under this Agreement, until such amounts are paid in full, unless you live in a state where Viasat is required under applicable law to accept another method of payment or Viasat has agreed to accept another method of payment from you. This Agreement has 20 18 pages and incorporates Viasat’s Data Allowance Policy, Bandwidth Usage PolicyViasat{V 'DWD $OORy,ZBDanQdwFiHdth U3sRagOe LPoFlicy, Unlimited Data Policy, Privacy Policies, Acceptable Use Policy, Network Management Policy, Viasat Shield Application End User Terms and Conditions Agreement, and your Internet Service plan details and restrictions as posted on xxx.xxxxxx.xxx/xxxxx. In addition, if you are leasing your Equipment, receiving Voice, receiving Services through our Recovery Act Program, receiving Services through the CAF-II program, and/or receiving the Affordable Connectivity Emergency Broadband Benefit Program or Lifeline discountsdiscount, the Agreement incorporates, as applicable, the Lease Addendum, the EasyCare Addendum, the Voice Addendum, the Recovery Act Addendum, the Affordable Connectivity Emergency Broadband Benefit Program Addendum, the CAF-II Addendum, and/or the CAF-II Lifeline Addendum. You acknowledge that you have received, read, understand and agree to be bound by all of the terms and conditions set forth on each of the pages of this Agreement and the incorporated documents, as each of them may be updated from time to time. If you did not receive Sections 1 through 8 of this Agreement, Exhibit A, and, if applicable, the Lease Addendum, the EasyCare Addendum, the Voice Addendum, the Recovery Act Addendum and/or the Affordable Connectivity Emergency Broadband Benefit Program Addendum, the CAF-II Addendum, and/or the CAF-II Lifeline Addendum, DO NOT SIGN THIS AGREEMENT. Customer Information Authorized Signer Information CUSTOMER INFORMATION AUTHORIZED SIGNER INFORMATION (if Customer is not present at Installation) Customer Signature: $XWKRUL]HG 6LJ Date: Authorized Signer’s SignaturePrint Customer Name: DateStreet Address: By signature I affirm that the Customer has authorized me 3ULQW $XWKRUL]H Relationship to establish an account in the Customer’s name. 1. The Service.:

Appears in 1 contract

Samples: Customer Agreement (Residential)

Payment Authorization. You authorize Viasat to charge your credit card or debit card (“Card Payment”P”a), or initiate an oyrmineitinatetan electronic funds transfer out of your bank account (“EFT Payment”) for payment of all or any portion of your Service feesfoorf yopuraSyermviceenfetes, the Termination FeetohefTeramlinlationoFree, if applicable (and/or any aif anpyplicapbloe r(antdi/oor anny other applicable termination fee) and any other amounts payable under this Agreement, until such amounts are paid in full, unless you live in a state where Viasat is required under applicable law to accept another method of payment or Viasat has agreed to accept another method of payment from you. This Agreement has 20 pages and incorporates Viasat’s Data Allowance Policy, Bandwidth Usage PolicyAlloy,wBaanndwciedth UPsoagle iPoclicy, Unlimited Data Policy, Privacy Policies, Acceptable Use Policy, Network Management Policy, Viasat Shield Application End User Terms and Conditions Agreement, and your Internet Service plan details and restrictions as posted on xxx.xxxxxx.xxx/xxxxx. In addition, if you are leasing your Equipment, receiving Voice, receiving Services through our Recovery Act Program, receiving Services through the CAF-II program, and/or receiving the Affordable Connectivity Program or Lifeline discounts, the Agreement incorporates, as applicable, the Lease Addendum, the EasyCare Addendum, the Voice Addendum, the Recovery Act Addendum, the Affordable Connectivity Program Addendum, the CAF-II Addendum, and/or the CAF-II Lifeline Addendum. You acknowledge that you have received, read, understand and agree to be bound by all of the terms and conditions set forth on each of the pages of this Agreement and the incorporated documents, as each of them may be updated from time to time. If you did not receive Sections 1 through 8 of this Agreement, Exhibit A, and, if applicable, the Lease Addendum, the EasyCare Addendum, the Voice Addendum, the Recovery Act Addendum and/or the Affordable Connectivity Program Addendum, the CAF-II Addendum, and/or the CAF-II Lifeline Addendum, DO NOT SIGN THIS AGREEMENT. Customer Information Authorized Signer Information (if Customer is not present at Installation) Customer Signature: Date: Authorized Signer’s Signature: Date: By signature I affirm that the Print Customer has authorized me to establish an account in the Customer’s name. Name: Street Address: 1. The Service.

Appears in 1 contract

Samples: Customer Agreement

Payment Authorization. You authorize Viasat to charge your credit card or debit card (“Card Payment”³&DUG 3´D), or initiate an o\rPinHitiQateWan electronic funds transfer out of your bank account (“EFT Payment”) for payment of all or any portion of your Service feesEDQN DFFRXQW ³()7 3D\PHQW´ IRoUf yoSurDS\erPvicHeQfeWes , the Termination FeetRheIT erDmOinOati onRFUee , if applicable (and/or any Dif aQp\pli caSblRe U(anWdL/xXx aQny other applicable termination fee) and any other amounts payable under this Agreement, until such amounts are paid in full, unless you live in a state where Viasat is required under applicable law to accept another method of payment or Viasat has agreed to accept another method of payment from you. This Agreement has 20 19 pages and incorporates Viasat’s Data Allowance Policy, Bandwidth Usage PolicyViasat¶V 'DWD $OORy,ZBDanQdwFiHdth U3sRagOe LPoFlicy, Unlimited Data Policy, Privacy Policies, Acceptable Use Policy, Network Management Policy, Viasat Shield Application End User Terms and Conditions Agreement, and your Internet Service plan details and restrictions as posted on xxx.xxxxxx.xxx/xxxxx. In addition, if you are leasing your Equipment, receiving Voice, receiving Services through our Recovery Act Program, receiving Services through the CAF-II program, and/or receiving the Affordable Connectivity Program or Lifeline discountsdiscount, the Agreement incorporates, as applicable, the Lease Addendum, the EasyCare Addendum, the Voice Addendum, the Recovery Act Addendum, the Affordable Connectivity Program Addendum, the CAF-II Addendum, and/or the CAF-II Lifeline Addendum. You acknowledge that you have received, read, understand and agree to be bound by all of the terms and conditions set forth on each of the pages of this Agreement and the incorporated documents, as each of them may be updated from time to time. If you did not receive Sections 1 through 8 of this Agreement, Exhibit A, and, if applicable, the Lease Addendum, the EasyCare Addendum, the Voice Addendum, the Recovery Act Addendum and/or the Affordable Connectivity Program Addendum, the CAF-II Addendum, and/or the CAF-II Lifeline Addendum, DO NOT SIGN THIS AGREEMENT. Customer Information Authorized Signer Information (if Customer is not present at Installation) Customer Signature: $XWKRUL]HG 6LJ Date: Authorized Signer’s SignaturePrint Customer Name: DateStreet Address: By signature I affirm that the Customer has authorized me 3ULQW $XWKRUL]H Relationship to establish an account in the Customer’s name. 1. The Service.:

Appears in 1 contract

Samples: Customer Agreement

Payment Authorization. You I authorize Viasat my bank to charge your credit card debit my account as identified above to the terms stated here. This authorization shall remain in effect until the Purchaser and bank receive written notification from me of intent to terminate at such time and in such manner as to afford the Purchaser and bank reasonable opportunity to act (minimum 30 days). I understand that if the total amount owed to the Purchaser is increased, I authorize this plan to continue as long as the payment amount remains unchanged until the amount owed the Purchaser is paid off, or debit card unless the plan is terminated earlier by me as above. I understand any added amounts can be applied for with a new ACH Debit Authorization Form. All other changes such as payment amount, frequency, bank account number change, will require a new ACH Debit Payment Authorization Form to be filled out and submitted to Merchant 15 days prior to any change being implemented. I will be liable to pay an NSF fee of $25.00 (“Card Payment”or the amount allowable by law), which may be automatically debited for each NSF.I represent and warrant that I am authorized to execute this payment authorization for the purpose of implementing this payment plan. I indemnify and hold the Purchaser and the bank harmless from damage, loss or initiate an electronic funds transfer out claim resulting from all authorized actions hereunder. Payments will be scheduled daily in the amount of your bank account (“EFT Payment”) for payment of all or any portion of your Service fees, the Termination Fee, if applicable (and/or any other applicable termination fee) and any other amounts payable under this Agreement, until such amounts are paid in full, unless you live in a state where Viasat is required under applicable law to accept another method 1,178.57. Recurring schedule of payment or Viasat has agreed will start on the following day after the financing proceeds are disbursed to accept another method the business. Payments will be deducted every day, excluding weekends until full payback amount, referred to as the Purchased Amount (594,000.00), is reached. Routing Number Account: Number Account Name: Bank Name: Type of payment from you. This Agreement has 20 pages and incorporates Viasat’s Data Allowance Policy, Bandwidth Usage Policy, Unlimited Data Policy, Privacy Policies, Acceptable Use Policy, Network Management Policy, Viasat Shield Application End User Terms and Conditions Agreement, and your Internet Service plan details and restrictions as posted on xxx.xxxxxx.xxx/xxxxx. In addition, if you are leasing your Equipment, receiving Voice, receiving Services through our Recovery Act Program, receiving Services through the CAFAccount: Checking Savings Merchants Legal Name: DIGITAL POWER CORPORATION View-II program, and/or receiving the Affordable Connectivity Program or Lifeline discounts, the Agreement incorporates, as applicable, the Lease Addendum, the EasyCare Addendum, the Voice Addendum, the Recovery Act Addendum, the Affordable Connectivity Program Addendum, the CAF-II Addendum, and/or the CAF-II Lifeline Addendum. You acknowledge that you have received, read, understand and agree Only Access to be bound by all of the terms and conditions set forth on each of the pages of this Agreement and the incorporated documents, as each of them may be updated from time to time. If you did not receive Sections 1 through 8 of this Agreement, Exhibit A, and, if applicable, the Lease Addendum, the EasyCare Addendum, the Voice Addendum, the Recovery Act Addendum and/or the Affordable Connectivity Program Addendum, the CAF-II Addendum, and/or the CAF-II Lifeline Addendum, DO NOT SIGN THIS AGREEMENT. Customer Information Authorized Signer Information (if Customer is not present at Installation) Customer SignatureOnline Bank Login: Password: Date: Authorized Signer’s 1/10/2018 FOR THE MERCHANT (DIGITAL POWER CORPORATION) by: Mxxxxx Xxxx X /s/ Mxxxxx Xxxx (Print Name and Title) (Signature) by: Date: By signature I affirm that the Customer has authorized me to establish an account in the Customer’s name. 1. The Service.Kxxxxxxx Xxxx X /s/ Kxxxxxxx Xxxx (Print Name and Title) (Signature)

Appears in 1 contract

Samples: Future Receivables Sale Agreement (DPW Holdings, Inc.)

Payment Authorization. You authorize Viasat to charge your credit card or debit card (“Card Payment”), or initiate an electronic funds transfer out of your bank account (“EFT Payment”) for payment of all or any portion of your Service fees, the Termination Fee, if applicable (and/or any other applicable termination fee) and any other amounts payable under this Agreement, until such amounts are paid in full, unless you live in a state where Viasat is required under applicable law to accept another method of payment or Viasat has agreed to accept another method of payment from you. This Agreement has 20 18 pages and incorporates Viasat’s Data Allowance Policy, Bandwidth Usage Policy, Unlimited Data Policy, Privacy Policies, Acceptable Use Policy, Network Management Policy, Viasat Shield Application End User Terms and Conditions Agreement, and your Internet Service plan details and restrictions as posted on xxx.xxxxxx.xxx/xxxxx. In addition, if you are leasing your Equipment, receiving Voice, receiving Services through our Recovery Act Program, receiving Services through the CAF-II program, and/or receiving the Affordable Connectivity Emergency Broadband Benefit Program or Lifeline discountsdiscount, the Agreement incorporates, as applicable, the Lease Addendum, the EasyCare Addendum, the Voice Addendum, the Recovery Act Addendum, the Affordable Connectivity Emergency Broadband Benefit Program Addendum, the CAF-II Addendum, and/or the CAF-II Lifeline Addendum. You acknowledge that you have received, read, understand and agree to be bound by all of the terms and conditions set forth on each of the pages of this Agreement and the incorporated documents, as each of them may be updated from time to time. If you did not receive Sections 1 through 8 of this Agreement, Exhibit A, and, if applicable, the Lease Addendum, the EasyCare Addendum, the Voice Addendum, the Recovery Act Addendum and/or the Affordable Connectivity Emergency Broadband Benefit Program Addendum, the CAF-II Addendum, and/or the CAF-II Lifeline Addendum, DO NOT SIGN THIS AGREEMENT. Customer Information Authorized Signer Information (if Customer is not present at Installation) Customer Signature: Date: Authorized Signer’s Signature: Date: By signature I affirm that the Customer has authorized me to establish an account in the Customer’s name. 1. The Service.

Appears in 1 contract

Samples: Customer Agreement

Payment Authorization. You I authorize Viasat my bank to charge your credit card debit my account as identified above to the terms stated here. This authorization shall remain in effect until the Purchaser and bank receive written notification from me of intent to terminate at such time and in such manner as to afford the Purchaser and bank reasonable opportunity to act (minimum 30 days). I understand that if the total amount owed to the Purchaser is increased, I authorize this plan to continue as long as the payment amount remains unchanged until the amount owed the Purchaser is paid off, or debit card unless the plan is terminated earlier by me as above. I understand any added amounts can be applied for with a new ACH Debit Authorization Form. All other changes such as payment amount, frequency, bank account number change, will require a new ACH Debit Payment Authorization Form to be filled out and submitted to Merchant 15 days prior to any change being implemented. I will be liable to pay an NSF fee of $25.00 (“Card Payment”or the amount allowable by law), which may be automatically debited for each NSF. I represent and warrant that I am authorized to execute this payment authorization for the purpose of implementing this payment plan. I indemnify and hold the Purchaser and the bank harmless from damage, loss or initiate an electronic funds transfer out claim resulting from all authorized actions hereunder. Payments will be scheduled weekly in the amount of your bank account (“EFT Payment”) for payment of all or any portion of your Service fees, the Termination Fee, if applicable (and/or any other applicable termination fee) and any other amounts payable under this Agreement, until such amounts are paid in full, unless you live in a state where Viasat is required under applicable law to accept another method $50,183.15 Recurring schedule of payment or Viasat has agreed will start on the following day after the financing proceeds are disbursed to accept another method the business. Payments will be deducted every day, excluding weekends until full payback amount, referred to as the Purchased Amount 1,370,000.00 is reached. Routing Number Account: Number Account Name: Bank Name: Type of payment from you. This Agreement has 20 pages and incorporates Viasat’s Data Allowance PolicyAccount: Checking Savings Merchants Legal Name:Smart Works, Bandwidth Usage PolicyLLC/ Smart Works IT Services, Unlimited Data PolicyLLC/ ITECH US, Privacy PoliciesInc/ SharedLabs, Acceptable Use Policy, Network Management Policy, Viasat Shield Application End User Terms and Conditions Agreement, and your Internet Service plan details and restrictions as posted on xxx.xxxxxx.xxx/xxxxx. In addition, if you are leasing your Equipment, receiving Voice, receiving Services through our Recovery Act Program, receiving Services through the CAFInc/ Exois Inc View-II program, and/or receiving the Affordable Connectivity Program or Lifeline discounts, the Agreement incorporates, as applicable, the Lease Addendum, the EasyCare Addendum, the Voice Addendum, the Recovery Act Addendum, the Affordable Connectivity Program Addendum, the CAF-II Addendum, and/or the CAF-II Lifeline Addendum. You acknowledge that you have received, read, understand and agree Only Access to be bound by all of the terms and conditions set forth on each of the pages of this Agreement and the incorporated documents, as each of them may be updated from time to time. If you did not receive Sections 1 through 8 of this Agreement, Exhibit A, and, if applicable, the Lease Addendum, the EasyCare Addendum, the Voice Addendum, the Recovery Act Addendum and/or the Affordable Connectivity Program Addendum, the CAF-II Addendum, and/or the CAF-II Lifeline Addendum, DO NOT SIGN THIS AGREEMENT. Customer Information Authorized Signer Information (if Customer is not present at Installation) Customer SignatureOnline Bank Login: Date: Authorized Signer’s 8/23/2018 by: Jxxxx Xxxx Chairman, President and CEO /s/ Jxxxx Xxxx (Print Name and Title) (Signature: Date: By signature I affirm that the Customer has authorized me to establish an account in the Customer’s name. 1. The Service.)

Appears in 1 contract

Samples: Future Receivables Sale Agreement (SharedLabs, Inc)

Payment Authorization. You authorize Viasat to charge your credit card or debit card (“Card Payment”), or initiate an electronic funds transfer out of your bank account (“EFT Payment”) for payment of all or any portion of your Service fees, the Termination Fee, if applicable (and/or any other applicable termination fee) and any other amounts payable under this Agreement, until such amounts are paid in full, unless you live in a state where Viasat is required under applicable law to accept another method of payment or Viasat has agreed to accept another method of payment from you. This Agreement has 20 18 pages and incorporates Viasat’s Data Allowance Policy, Bandwidth Usage Policy, Unlimited Data Policy, Privacy Policies, Acceptable Use Policy, Network Management Policy, Viasat Shield Application End User Terms and Conditions Agreement, and your Internet Service plan details and restrictions as posted on xxx.xxxxxx.xxx/xxxxx. In addition, if you are leasing your Equipment, receiving Voice, receiving Services through our Recovery Act Program, receiving Services through the CAF-II program, and/or receiving the Affordable Connectivity Emergency Broadband Benefit Program or Lifeline discountsdiscount, the Agreement incorporates, as applicable, the Lease Addendum, the EasyCare Addendum, the Voice Addendum, the Recovery Act Addendum, the Affordable Connectivity Emergency Broadband Benefit Program Addendum, the CAF-II Addendum, and/or the CAF-II Lifeline Addendum. You acknowledge that you have received, read, understand and agree to be bound by all of the terms and conditions set forth on each of the pages of this Agreement and the incorporated documents, as each of them may be updated from time to time. If you did not receive Sections 1 through 8 of this Agreement, Exhibit A, and, if applicable, the Lease Addendum, the EasyCare Addendum, the Voice Addendum, the Recovery Act Addendum and/or the Affordable Connectivity Emergency Broadband Benefit Program Addendum, the CAF-II Addendum, and/or the CAF-II Lifeline Addendum, DO NOT SIGN THIS AGREEMENT. Customer Information Authorized Signer Information CUSTOMER INFORMATION AUTHORIZED SIGNER INFORMATION (if Customer is not present at Installation) Customer Signature: Date: Authorized Signer’s Signature: Date: By signature I affirm that the Customer has authorized Date: me to establish an account in the Customer’s name. Date: 1. The Service.

Appears in 1 contract

Samples: Customer Agreement

Draft better contracts in just 5 minutes Get the weekly Law Insider newsletter packed with expert videos, webinars, ebooks, and more!