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I hereby authorize The Processor to deduct from my bank
account this one-time contribution payment.
I further authorize my bank or financial institution to deduct this one-time
payment from my bank account.
The Processor will note this transaction as pending payment until funds are
secured from my banking institution. Please note that, in the event we
are unable to secure funds from your bank account for any reason, including
but not limited to, insufficient funds in your account or insufficient
information provided
by you when you submit your electronic payment, further collection action
may be undertaken by The Processor. I authorize The Processor to
electronically re-present the item or submit a paper draft to collect the
check amount and to initiate an electronic debit from my bank account or
submit a paper draft for any return fees as permitted by law. I understand
that I may request a paper copy of the electronic records related to the
debit entry covered by this authorization from management. |