ContractAuthorization Agreement • September 20th, 2022
Contract Type FiledSeptember 20th, 2022AUTO AUTHORIZATION AGREEMENT FOR DIRECT PAYMENTS (ACH DEBITS) Company CompanyName Furst-McNess Company ID Number 36-1112600 I (we) hereby authorize Furst-McNess Company, hereinafter called COMPANY, to initiate debitentries to my (our) Checking Account or Savings Account (select one) indicated below at the depository financial institution named below, hereafter called DEPOSITORY, and to debit the same to such account. I (we) acknowledge that the origination of ACH transactions to my (our) account must comply with the provision of U.S. law. PLEASE ATTACH VOIDED CHECK This authorization is to remain in full force and effect until COMPANY has received written notification from me (or either of us) of its termination in such time and in such manner as to afford COMPANY and DEPOSITORY a reasonable opportunity to act on it.Company Customer # Email Phone # Name(s) ID # Please Print Signature(s) Date Name(s) ID # Please PrintSignature(s) Date NOTE: ALL WRITTEN DEBIT AUTHORIZATIONS MUST PROV