AUTHORIZATION AGREEMENT FOR DIRECT PAYMENTS (ACH DEBITS)
NOTE: WRITTEN DEBIT AUTHORIZATIONS MUST PROVIDE THAT THE RECEIVER MAY REVOKE THE AUTHORIZATION ONLY BY NOTIFYING THE ORIGINATOR IN THE MANNER SPECIFIED IN THE AUTHORIZATION.
Procedure – For ACH Collections, Selectel shall debit via ACH the appropriate Business Checking Account on Tuesday’s and Friday’s of each week, or as needed based on product sales or type of product offered, for the prior period’s activity for the net amount due (i.e. gross sales less margin).
ATTACH VOIDED (Imprinted) BUSINESS CHECK HERE
FAX TO 888-306-1066 OR E-MAIL THIS FORM TO Michael@mynationalcoverage.com
If there is a change in banking information, please contact us.