Authorization Agreement for Pre-authorized Payments for Dart Machine ConnectionAuthorization Agreement for Pre-Authorized Payments • May 31st, 2011
Contract Type FiledMay 31st, 2011I/we authorize Shelti (hereafter called COMPANY) to initiate debit entries to my (our) bank account indicated below. I (we) authorize the financial institution named below, hereafter call INSTITUTION, to credit the amount of such entries to my (our) account to correct any errors, and the INSTITUTION to deposit any such corrections to my (our) account. I have attached an unsigned and voided check for the account I wish to be debited from time to time and in varying amounts.