The electronic debit plan will help you in several ways:

 It saves time – fewer checks to write.
 Helps meet your commitment in a convenient and timely manner – even if you’re on vacation or out of town.
 No lost or misplaced statements, your payment is always on time – it helps maintain good credit.
 It saves postage.
 It’s easy to sign up for, easy to cancel.
 No late charges.

Here’s how the electronic debit plan works:

You authorize regularly scheduled payments to be made from your checking or savings account. Then, just sit back and relax. Your payments will be made automatically on the specified day. A proof of payment will appear on your bank statement. The authority you give to charge your account will remain in effect until you notify us in writing to terminate the authorization. If the amount of your payment changes, we will notify you at least 15 days before payment date. The electronic debit plan is dependable, flexible, convenient and easy. To take advantage of this service, complete and submit the above authorization form.

Client Information

As it appears on your account
user@domain.com
Format : 555-555-5555

Bank Information

Please include the street name, state and zip code
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