AUTHORIZATION AGREEMENTElectronic Funds Transfer Authorization Agreement โข May 18th, 2018
Contract Type FiledMay 18th, 2018Company Name: CHAMPION SQUARE GARAGE I hereby authorize CHAMPION SQUARE GARAGE to initiate DEBIT entries and to initiate, if necessary, CREDIT entries and adjustments for any DEBIT entries in error to my (select one)๐ checking or ๐ savings account at the depository financial institution named below, hereinafter called DEPOSITORY, and to credit the same to such account. I acknowledge that the origination of ACH transactions from my account must comply with the provisions of U. S. law. Depository Financial Institution Name: CardNo. Branch: City: State: Zip: Routing #: Account #: Dollar Amount IMPORTANT: Attach a VOIDED check(voided deposit slip for savings account) for the above referenced account to this form. This authorization is to remain in full force and effect until CHAMPION SQUARE GARAGE has received written notification from me of its termination by the twentieth of the month for the next monthโs payment. Customer Name Street Address (Plea
AUTHORIZATION AGREEMENTElectronic Funds Transfer Authorization Agreement โข April 19th, 2018
Contract Type FiledApril 19th, 2018Company Name: CHAMPION SQUARE GARAGE I hereby authorize CHAMPION SQUARE GARAGE to initiate DEBIT entries and to initiate, if necessary, CREDIT entries and adjustments for any DEBIT entries in error to my (select one)๐ checking or ๐ savings account at the depository financial institution named below, hereinafter called DEPOSITORY, and to credit the same to such account. I acknowledge that the origination of ACH transactions from my account must comply with the provisions of U. S. law. Depository Financial Institution Name: AccountNo. Branch: City: State: Zip: Routing #: Account #: Dollar Amount IMPORTANT: Attach a VOIDED check(voided deposit slip for savings account) for the above referenced account to this form. This authorization is to remain in full force and effect until CHAMPION SQUARE GARAGE has received written notification from me of its termination by the twentieth of the month for the next monthโs payment. Customer Name Street Address (P