Common Contracts
1 similar Authorization Agreement for Electronic Payments contracts
AUTHORIZATION AGREEMENT FOR ELECTRONIC PAYMENTSAuthorization Agreement for Electronic Payments • May 31st, 2021
Complete this form including the bank account you want charged. Print, sign and return to our Business Office. We will debit your account each month for the amount due on your phone bill until you notify us to discontinue doing so. You will continue to receive a statement from State Telephone each month with all of the regular bill information. After your account is debited, our name will appear [on your bank statement] so you can easily see the amount that was paid.
