Purchase Power Automatic Payment AgreementAutomatic Payment Agreement • October 27th, 2014
CITY & BOROUGH OF SITKA AUTOMATIC PAYMENT (AUTO-PAY) BY CREDIT CARDAutomatic Payment Agreement • October 28th, 2021
This agreement between the Customer and the City & Borough of Sitka (City) authorizes the City to collect payments for utility bills by charging the Customer’s credit card.
AUTOMATIC PAYMENT AGREEMENT FORMAutomatic Payment Agreement • August 17th, 2017
AUTOMATIC PAYMENT AGREEMENTAutomatic Payment Agreement • March 21st, 2017
Automatic Payment Agreement FormAutomatic Payment Agreement • September 29th, 2020
Automatic Payment AgreementAutomatic Payment Agreement • December 18th, 2013
For your convenience, you can have your monthly utility bill automatically paid from your debit/credit card (VISA, MasterCard, Discover Card only) or your checking account. The City of Brentwood does not charge for this service, however, your credit card issuer or bank may charge you a fee for the transaction.
Purchase Power Automatic Payment AgreementAutomatic Payment Agreement • October 27th, 2014
Monthly Massage Club Automatic Payment AgreementAutomatic Payment Agreement • May 5th, 2021
As a member, you agree to an automatic monthly withdrawal for either a 60 or 90 minute massage at a discounted rate. It is a 90 day commitment and does not require a cancellation fee. After 90 days, it becomes a month-to-month agreement, which requires a 30 day written notice to cancel*.
Policies and Rules for Automatic Payment to Visa or MasterCard This payment agreement is for tuition and annual membership fees only. If you wish to charge anything else (summer camps, private lessons, birthday parties, etc.) please contact the...Automatic Payment Agreement • June 1st, 2022
• By enrolling in auto-pay, you are committing to payment of the full session of gymnastics, no matter attendance or enrollment.
Automatic Payment AgreementAutomatic Payment Agreement • July 9th, 2020
Automatic Payment Agreement Form District Account #0000_ _ _ _Automatic Payment Agreement • February 25th, 2019
Church of Our Lady of VictoryAutomatic Payment Agreement • October 5th, 2018
LANCASTER WATER & SEWER DEPARTMENTAutomatic Payment Agreement • January 22nd, 2018
Based on the above, I hereby authorize Lancaster Water & Sewer Department and the financial institution named above to initiate entries to my checking/savings account on the 20th of the month for payment of my monthly utility bills. This authorization will remain in effect until I terminate it, allowing reasonable time for Lancaster Water & Sewer Department and my bank to act. I have the right to stop payment on an individual entry or to have entries corrected by timely notification to my financial institution. Lancaster Water & Sewer Department has the right to cancel this agreement for insufficient payments to my account and also has the right to disconnect per PSC Rules for insufficient funds and nonpayment.
Automatic Payment AgreementAutomatic Payment Agreement • July 14th, 2019
This authorization will remain in effect until April 2, 2020 or until cancelled by me in writing per DDA Drop form. I agree that your treatment of each draft, and your rights in respect to it, shall be the same as if it were personally signed by myself.
AUTOMATIC PAYMENT AGREEMENTAutomatic Payment Agreement • August 22nd, 2021
AUTOMATIC PAYMENT AGREEMENTAutomatic Payment Agreement • September 19th, 2019
AUTOMATIC PAYMENT AGREEMENTAutomatic Payment Agreement • May 10th, 2017
One Automatic Payment (“Auto-Pay”) AgreementAutomatic Payment Agreement • February 7th, 2022
Please keep this Auto-Pay Agreement (“Agreement”) for your records. The One Account is offered by Coastal Community Bank, Member FDIC (“Bank”), and serviced by One Finance, Inc. (“One”) on behalf of the Bank. “We”, “us” and “our” means the Bank and its successors, agents, and assigns, including One Finance, Inc., who will service your Account on behalf of the Bank.
AGREEMENT FOR PREAUTHORIZED PAYMENTSAutomatic Payment Agreement • December 9th, 2014
Family Horizons now offers you the option to have your loan payment automatically deducted from your bank account and applied to your loan! The service is FREE to you and it will save you time and money by reducing the hassle of mailing payments! Simply return this completed form to us to get started!
Policies and Rules for Automatic Payment to Visa or MasterCard This payment agreement is for tuition and annual membership fees only. If you wish to charge anything else (summer camps, private lessons, birthday parties, etc.) please contact the...Automatic Payment Agreement • November 1st, 2024
• By enrolling in auto-pay, you are committing to payment of the full session of gymnastics, no matter attendance or enrollment.
Automatic Payment AgreementAutomatic Payment Agreement • June 23rd, 2014
Yinghua Academy offers an automatic payment option for families. Families will still receive monthly and year end statements which may be used for tax purposes.
ACH WITHDRAWAL - AUTOMATIC PAYMENT AGREEMENTAutomatic Payment Agreement • February 18th, 2022
Please print name, address, and account number exactly as they appear on your bill: Name: Service Address: Water Utility Account # and CID# Telephone #: E-mail: Billing StatementDelivery: Email Postal Mail Mailing address, if different than above: Street or P.O. Box address: City: State: BANK ACCOUNT INFORMATION Bank Name: Routing Number: Checking: Savings: Account Number:
AGREEMENT FOR AUTOMATIC PAYMENTS JSM MANAGEMENT, INC.Automatic Payment Agreement • April 27th, 2012
All automatic rental payments will be deducted on the 1st of each month, with the last payment being on the date your final payment is due as specified in your lease. If the first falls on a weekend or a holiday, the amount will be deducted on the following business day. The amount deducted will not cover any maintenance fees, utility fees, or other charges that may be added on to the account. In order to start, make changes to, or cancel automatic payments, JSM must be given notice in writing a minimum of two weeks before the first of the month. Payment of rent by other means other than automatic withdrawal or overpayment of rent will not negate or in any way cancel this agreement. Standard NSF fees as set in the lease will apply to all electronic transactions returned as non-payable by the bank.
Automatic Payment AgreementAutomatic Payment Agreement • May 26th, 2017
This agreement authorizes Sue Canfield to automatically bill my credit card initially on [DATE] in the amount of $XXX.XX for the one-time set up fee.
AUTOMATIC PAYMENT AGREEMENTAutomatic Payment Agreement • February 22nd, 2016
I, , hereby authorize the Goodwill Columbus to automatically charge my account on or before the 1st day of the month, for all monthly parking fees, time violation fees and/or damage fees due and payable per the terms of the Monthly Parking Agreement. I understand that the amount of my monthly parking fee is subject to change by Goodwill Columbus per the terms of the Monthly Parking Agreement, or due to fees or other charges, as specified in the Monthly Parking Agreement (e.g. late fees).
ContractAutomatic Payment Agreement • August 4th, 2023
Return completed form by fax or email or regular mail: Fax (210) 618-0561 or email Staff@coveyfin.com Covey Financial, PO BOX 790892, San Antonio TX 78279
AUTOMATIC PAYMENT AGREEMENTAutomatic Payment Agreement • May 20th, 2019
How to start autopay: By completing and signing this agreement, you agree and authorize the City of Oak Harbor to debit your checking account for your utility service bill. Attach your voided check below to ensure the proper and accurate setup of your autopay. Deliver the agreement either by walk-in, email, or fax. The City must receive authorization by the 1st of the month for the payment to be activated the same month.
Automatic Payment AgreementAutomatic Payment Agreement • December 31st, 2021
Policies and Rules for Automatic Payment to Visa or MasterCard This payment agreement is for tuition only. If you wish to charge anything else (annual membership fee, summer camps, private lessons, birthday parties, etc.) please contact the service desk.Automatic Payment Agreement • February 19th, 2020
• By enrolling in auto-pay, you are committing to payment of the full session of gymnastics, no matter attendance or enrollment.
CASS CITY OIL & GAS COMPANYAutomatic Payment Agreement • March 8th, 2011
Automatic Payment AgreementAutomatic Payment Agreement • May 20th, 2015
This program is for recurring automatic payments for Martin County utility bills. Please review the Utility Customer Policy and Procedure Agreement carefully. This agreement outlines Martin County utility policies and requirements pertaining to the Automatic Bill Payment program.
AUTOMATIC PAYMENT AGREEMENTAutomatic Payment Agreement • November 24th, 2020
ContractAutomatic Payment Agreement • July 31st, 2021
This is an agreement for customers that are on automatic deduct on their credit/debit card or checking/savings account. Please sign below.
AUTOMATIC PAYMENT TERMS AND CONDITIONSAutomatic Payment Agreement • April 4th, 2023
The word “Umpqua” refers to Umpqua Bank and the words “you” and “your” mean you or any other individual(s) identified as owners on the referenced accounts, including those accounts outside of Umpqua Bank.
CITY & BOROUGH OF SITKAAutomatic Payment Agreement • December 18th, 2015
This agreement between the Customer and the City & Borough of Sitka (City) authorizes the City to collect payments for utility bills by charging the Customer’s credit card.
