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PAYMENT TOTAL
I agree to pay by the above method. I certify that I am an authorized signer for the account indicated above and that I have the authority to authorize this/these transactions. I understand that because this is an electronic transaction, these funds may be withdrawn from my account as soon as the above noted transaction date. {*optional In the case the transaction is returned for Non-Sufficient Funds (NSF) I understand that may at its discretion attempt to process the charge again within 30 days and agrees to an additional charge for each attempt returned NSF, which will be initiated as a separate transaction from the authorized payment.} I have certified that the above bank account is enabled for ACH transactions and agree to be responsible for all penalties and fees incurred because of my bank rejecting ACH debits or credits because of the account not being properly configured for ACH transactions. Both parties agree to be bound by NACHA Operating Rules as they pertain to this transaction. I acknowledge that the origination of ACH transactions to my account must comply with the provisions of U.S. law. I agree not to dispute this transaction with my bank provided the transaction corresponds to the terms indicated in this authorization form.

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