Common Contracts
2 similar Electronic Funds Transfer Authorization Agreement contracts
AUTHORIZATION AGREEMENTElectronic Funds Transfer Authorization Agreement โข May 18th, 2018
Company Name: MERCEDES-BENZ SUPERDOME GARAGE I hereby authorize MERCEDES-BENZ SUPERDOME 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 MERCEDES-BENZ SUPERDOME GARAGE has received written notification from me of its termination by the twentieth of the month for the next monthโs payment. Customer Name
AUTHORIZATION AGREEMENTElectronic Funds Transfer Authorization Agreement โข April 19th, 2018
Company Name: MERCEDES-BENZ SUPERDOME GARAGE I hereby authorize MERCEDES-BENZ SUPERDOME 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 MERCEDES-BENZ SUPERDOME GARAGE has received written notification from me of its termination by the twentieth of the month for the next monthโs payment. Customer Nam
