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Fill and Sign the Canada Customs Invoice Facture Des Hercules Form

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The REI Visa® Card AutoPay Sign Up for AutoPay With AutoPay, you can enjoy the convenience of having your credit card bill paid automatically. You can forget about mailing your payment, searching for stamps, or worrying about late payment fees. To sign up, fax or mail the completed form back to us at the address noted below. COMPLETE AND RETURN THIS FORM Please pay my REI Visa® Account: _4_ _7_ _1_ _9_ - ___ ___ ___ ___ - ___ ___ ___ ___ - ___ ___ ___ ___ Please pay from: (check one) Checking Account Savings account Bank/City/State: 9-digit RTN (Routing and Transit Number): ___ ___ ___ ___ ___ ___ ___ ___ ___ Account Number: Please do not enclose voided checks or savings deposit slips. Please pay the: (check one) New balance shown on monthly statement* How to Determine your RTN (Routing and Transit Number) Current Minimum Payment due shown on monthly statement** Fixed Dollar Amount*** $ (Indicate amount) See below on payment terms referenced above. Please select your AutoPay date: (check one) First available date† I would like to pay on the __________ day of the month. Make sure the date you choose is between 9 and 14 days after your statement end date so that you do not incur a late fee. Please refer to your most recent REI Visa Card statement for your statement end date. Example: If your last statement was for activity between March 18 and April 18, you would want to choose a date between April 27 and May 2. Please assume a 30-day month for your payment withdrawal. AutoPay Terms and Conditions: † 1. 2. 3. 4. 5. First available date is dependent on your statement cycle. Withdrawal date may be as soon as three business days after your statement prints. Payment can be made from a checking or savings account from most financial institutions in the United States. If there are insufficient funds in your account on the specified dates, U.S. Bank National Association ND reserves the right to take payment in whole or in part when funds become available. Late fees may apply if the payment is late when funds become available. See your Cardmember Agreement for complete details. This authority will remain in effect until you notify us to cancel it (at least three business days prior to payment date to cancel AutoPay for that month). Automatic payments will continue to be deducted from your checking or savings account until you receive confirmation of AutoPay cancellation. If you choose to pay less than your statement balance, finance charges will be assessed according to the terms of your Cardmember Agreement. A message will be printed on your statement every month to confirm how much will be paid on your account and when it will be paid. Payment terms are according to the following: * ** *** Statement New Balance less any credits posted up to 2 business days prior to AutoPay date. Statement Minimum Payment or total amount due 2 business days prior to AutoPay date, whichever is less. If Statement Minimum Payment is greater than the fixed amount, AutoPay amount will be the Minimum Payment amount. If Statement New Balance is less than the Fixed Amount, payment will be the amount of New Balance; otherwise, the Fixed Amount selected will be equal to the AutoPay amount. I may cancel or change this authorization at any time at no cost. U.S. Bank National Association ND must receive in writing or by phone a notice of any change in this authorization. I understand that I will continue to receive my monthly credit card statement and that the amount I have authorized for deduction will be subtracted from my checking or savings account. If there are insufficient funds in my checking or savings accounts, normal fees and charges will apply. I must allow 10 business days for account setup. I will continue to make my monthly payments until I am notified that setup is complete. If I cancel, I understand that payments will continue to be deducted from my checking or savings account until I receive confirmation of AutoPay cancellation on my statement. Name: (please print as it appears on your REI Visa card) Signature: If you have further questions, please contact the 24-hour Cardmember Service Department: REI Visa Signature: 1-877-REI-6060 REI Visa Platinum: 1-877-REI-8742 Mail to: U.S. Bank National Association ND c/o U.S. Bancorp Service Center, Inc. PO Box 6351 Fargo, ND 58125-6351 Or fax to: 1-866-640-2015 Date: The REI Visa® Card AutoPay Sign Up for AutoPay With AutoPay, you can enjoy the convenience of having your credit card bill paid automatically. You can forget about mailing your payment, searching for stamps, or worrying about late payment fees. To sign up, fax or mail the completed form back to us at the address noted at the bottom. COMPLETE AND KEEP THIS FORM FOR YOUR RECORDS Please pay my REI Visa® Account: _4_ _7_ _1_ _9_ - ___ ___ ___ ___ - ___ ___ ___ ___ - ___ ___ ___ ___ Checking Account Please pay from: (check one) Savings account Bank/City/State: 9-digit RTN (Routing and Transit Number): ___ ___ ___ ___ ___ ___ ___ ___ ___ Account Number: Please do not enclose voided checks or savings deposit slips. Please pay the: (check one) New balance shown on monthly statement* How to Determine your RTN (Routing and Transit Number) Current Minimum Payment due shown on monthly statement** Fixed Dollar Amount*** $ (Indicate amount) See below on payment terms referenced above. Please select your AutoPay date: (check one) First available date† I would like to pay on the __________ day of the month. Make sure the date you choose is between 9 and 14 days after your statement end date so that you do not incur a late fee. Please refer to your most recent REI Visa Card statement for your statement end date. Example: If your last statement was for activity between March 18 and April 18, you would want to choose a date between April 27 and May 2. Please assume a 30-day month for your payment withdrawal. AutoPay Terms and Conditions: † 1. 2. 3. 4. 5. First available date is dependent on your statement cycle. Withdrawal date may be as soon as three business days after your statement prints. Payment can be made from a checking or savings account from most financial institutions in the United States. If there are insufficient funds in your account on the specified dates, U.S. Bank National Association ND reserves the right to take payment in whole or in part when funds become available. Late fees may apply if the payment is late when funds become available. See your Cardmember Agreement for complete details. This authority will remain in effect until you notify us to cancel it (at least three business days prior to payment date to cancel AutoPay for that month). Automatic payments will continue to be deducted from your checking or savings account until you receive confirmation of AutoPay cancellation. If you choose to pay less than your statement balance, finance charges will be assessed according to the terms of your Cardmember Agreement. A message will be printed on your statement every month to confirm how much will be paid on your account and when it will be paid. Payment terms are according to the following: * ** *** Statement New Balance less any credits posted up to 2 business days prior to AutoPay date. Statement Minimum Payment or total amount due 2 business days prior to AutoPay date, whichever is less. If Statement Minimum Payment is greater than the fixed amount, AutoPay amount will be the Minimum Payment amount. If Statement New Balance is less than the Fixed Amount, payment will be the amount of New Balance; otherwise, the Fixed Amount selected will be equal to the AutoPay amount. I may cancel or change this authorization at any time at no cost. U.S. Bank National Association ND must receive in writing or by phone a notice of any change in this authorization. I understand that I will continue to receive my monthly credit card statement and that the amount I have authorized for deduction will be subtracted from my checking or savings account. If there are insufficient funds in my checking or savings accounts, normal fees and charges will apply. I must allow 10 business days for account setup. I will continue to make my monthly payments until I am notified that setup is complete. If I cancel, I understand that payments will continue to be deducted from my checking or savings account until I receive confirmation of AutoPay cancellation on my statement. Name: (please print as it appears on your REI Visa card) Signature: If you have further questions, please contact the 24-hour Cardmember Service Department: REI Visa Signature: 1-877-REI-6060 REI Visa Platinum: 1-877-REI-8742 Mail to: U.S. Bank National Association ND c/o U.S. Bancorp Service Center, Inc. PO Box 6351 Fargo, ND 58125-6351 Or fax to: 1-866-640-2015 Date:

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