General InformationAutomatic Payment Enrollment Agreement • November 23rd, 2014
I, the undersigned, authorize PayLease, on behalf of my Lessor, to debit my account above every month this Agreement is in effect on the debit day stated above. In consideration of PayLease's performance of services hereunder, I acknowledge and agree that I am the lessee occupying the premises at the address stated above. I certify that I have full authority to enter into this Agreement and that all necessary approvals have been obtained to enter into this Agreement. I agree that I will be assessed a fee of $25.00 by PayLease if my bank account has insufficient funds to cover my payment on the designated day of debit. I authorize PayLease to debit my credit card or checking account submitted above for the amount stated, on the day specified and for the duration of time specified. I waive the right to dispute any debits made by PayLease on these specified debit days. I acknowledge that the origination of Automated Clearing House ("ACH") transactions to my Account must comply with all ap
Automatic Payment Enrollment FormAutomatic Payment Enrollment Agreement • November 1st, 2022
Automatic Payment Enrollment FormAutomatic Payment Enrollment Agreement • May 17th, 2015
Property Owner Name Property Name Address including unit # City State Zip Payment Information Payment Amount $ Start Date (mm/yy)* Billing Address City State Zip
Hilton Head Exterminators Automatic Payment EnrollmentAutomatic Payment Enrollment Agreement • August 23rd, 2018 • Pest
In order to make bill payments more efficient and easy for our customers, Hilton Head Exterminators offers the option of your service being automatically charged to your banking account or credit/debit card each time the service is completed. If you would like to enroll, please completely fill out the form below and return in the mail.
Automatic Payment Enrollment FormAutomatic Payment Enrollment Agreement • September 6th, 2017
I, the undersigned, authorize PayLease, on behalf of my Lessor, to debit my account above every month this Agreement is in effect. In consideration of Pay Lease's performance of services hereunder, I acknowledge and agree that I am the lessee occupying the premises at the address stated above. I certify that I have full authority to enter into this Agreement and that all necessary approvals have been obtained to enter into this Agreement. I agree that I will be assessed a fee of $35.00 by if my bank account has insufficient funds to cover my payment on the designated day of debit. I authorize PayLease to debit my checking account monthly for the full amount owed. I waive the right to dispute any debits made by PayLease on these specified debit days. I acknowledge that the origination of Automated Clearing House ("ACH") transactions to my Account must comply with all applicable state and federal laws.
