MONTHLY PAYMENT AGREEMENTMonthly Payment Agreement • August 5th, 2014
Credit Card Payment Plan Option: I authorize Northlake OB/GYN to debit the credit card listed below for the amount(s) and date(s) listed. I understand that Northlake OB/GYN will keep my credit card information confidential and the information will only be used for the purposes of this payment plan. If I do not pay for services rendered to the patient, and the account is turned over for collection, I agree to pay all costs, fees and expenses incurred by Northlake OB/GYN in collection or attempting to collect any amount due under this agreement.
Monthly Payment Agreement ContractMonthly Payment Agreement • November 14th, 2016
By initialing below and signing this agreement, I hereby authorize City of Grand Rapids / Pokegama Golf Course (hereinafter Pokegama Golf Course ) or its assigns or affiliated companies to charge, or to initiate transfer from, the account designated above for the purpose of making the recurring monthly payments I owe to Pokegama Golf Course on or around the 1st of the month until all of my obligations are paid under the agreement. I understand that my obligation under this agreement includes my recurring monthly fees, service fee for uncollectable monthly fees, applicable taxes, charges and any other unpaid fees or dues including past unpaid dues and fees. This authorization will remain in full force and effect during the term of this membership agreement. I confirm that I am authorized under the terms of the applicable agreement with my financial institution to use the account designated for the purchase of good and services from Pokegama Golf Course and agree to comply with the finan
Monthly Payment Agreement ContractMonthly Payment Agreement • November 16th, 2016
Season Green Pass Season Range Pass Cart Use Pass □ Family Pass - $1056.99 □ Family - $267.19 □ Two Seats - $758.81 □ Single Adult Pass - $693.62 □ Single - $197.72 □ One Seat - $320.63 □ Young Adult Pass (Ages 19-24) - $319.56 □ Young Adult (19-24) - $106.88 □ Personal Cart Trail Fee - $480.94 □ Junior Pass (Ages 10-18) - $105.81 □ Junior Pass (10-18)- $53.44
Monthly Payment Agreement ContractMonthly Payment Agreement • April 25th, 2020
Terms I understand that I am entering into a Monthly Payment Agreement Contract between myself and Reliant, Inc. I further understand that I must sign and return this agreement for it to be executed. By signing below I understand that I will be held responsible for and consent to making my monthly payment by the 1st of each month on my account. I am aware that any late payment on this Payment Agreement Contract will result in a$25 late fee being assessed and/or my account being sent to a collection agency. Monthly Payment Options (Choose one below) o Credit Card Authorization: (Recommended)*Processed the first day of each month until account is paid in full. .Name on Credit Card: Billing Address for CC: Type of Card: MasterCard Visa Discover AMEXCredit Card Number: Expiration Date: / Security Code/CVV: o I will make my monthly payment every month. (If you choose this option it is your responsibility to make your payment by the first of the month. Please mail a check or CC information
MONTHLY PAYMENT AGREEMENTMonthly Payment Agreement • July 1st, 2024
RICHMOND ELKS LODGE 649/GOLF COURSE CONTRACT MONTHLY PAYMENT AGREEMENTMonthly Payment Agreement • April 21st, 2015 • Indiana
This monthly agreement (hereinafter referred to as “Agreement”) is made between the undersigned applicant (hereinafter referred to as “Member”) and the Richmond Elks Lodge 649 (hereinafter reffered to as “Club”). Member and Club hereby agree as follows:
MONTHLY PAYMENT AGREEMENTMonthly Payment Agreement • October 10th, 2019
By signing this agreement, the bank account owner or cardholder agrees to this payment for a minimum of 12 months. The monthly payment plan is an automatic renewal unless you contact AERA to cancel within 30 days of the renewal date.
CITY OF OMRO WATER & SEWER UTILITIES MONTHLY PAYMENT AGREEMENTMonthly Payment Agreement • November 17th, 2020
MONTHLY PAYMENT TERMS AND CONDITIONSMonthly Payment Agreement • December 10th, 2019
By signing your agreement you have agreed that your tuition fees will begin on the agreed payment date with the agreed payment method to Genesis Gym, Marlow.
MONTHLY PAYMENT AGREEMENTMonthly Payment Agreement • June 29th, 2012
Karachi, Pakistan (hereinafter referred to as the "Institution" which expression shall, where the context so permits, mean and include its successors-in-interest, legal representatives and administrators and assigns), of the one part.
Monthly Payment Agreement GuidelinesMonthly Payment Agreement • October 19th, 2020
MONTHLY PROGRAM PAYMENT AGREEMENTMonthly Payment Agreement • September 21st, 2010
PurchaserName: Address: City: State: Phone: Zip: E-Mail: SellerAgent: Address: City: State: Phone: Zip: E-Mail: Fax: This Monthly Payment Authorization (this “Authorization”) authorizes Warrantech Automotive, Inc. (“Warrantech”) to charge Purchaser’s credit card or bank account, as designated below (referred to as the Designated Account), for the payments due under the above-referenced vehicle service contract (“VSC”) for the vehicle identified below. This Authorization shall remain in effect until terminated as explained below. This Authorization permits Warrantech to charge Purchaser’s Designated Account for the Activation Feethis date and on each Payment Date (as designated below) during each month this Authorization remains in effect for the Monthly Amount.
MONTHLY PAYMENT AGREEMENTMonthly Payment Agreement • October 10th, 2019
By signing this agreement, the bank account owner or cardholder agrees to this payment for a minimum of 12 months. The monthly payment plan is an automatic renewal unless you contact AERA to cancel within 30 days of the renewal date.
MONTHLY PAYMENT TERMS AND CONDITIONSMonthly Payment Agreement • July 15th, 2024
This is a legally binding agreement between Genesis Gym Marlow (trading as RGA Marlow) and yourself. You have agreed that your tuition fees will be paid to Genesis Gym Marlow and will begin on the agreed payment date using the agreed payment method.
Legacy Ballet Monthly Payment AgreementMonthly Payment Agreement • June 10th, 2013
Each 9 week session for classes per week is equal to for the full 9 weeks, and my monthly payments will be applied towards that balance. Following the first payment in the amount of $ (this includes the registration fee if applicable), each monthly payment of
