EFT Payment Authorization Signature

EFT PAYMENT AUTHORIZATION AND SERVICE AGREEMENT

Agreement Date:   Company Name:   Client Name:

Recitals

WHEREAS, Company provides goods and/or services as described below and Client desires to retain Company to provide such goods and/or services under the terms set forth in this Agreement;

WHEREAS, Client elects to pay Company by electronic funds transfer (EFT) and hereby authorizes Company to initiate debits and credits to the designated bank account in accordance with the Payment Terms below; and

WHEREAS, the parties desire to set forth their understandings and obligations regarding services, payment by EFT, confidentiality, and related matters in this written Agreement.

Scope of Work

Payment Terms

Payment Amount:   Currency:

Weekly    Bi-weekly    Monthly    One-time

Late Fee (if payment is not received when due):   Grace Period (days):

EFT Authorization

Bank Name:

Routing Number:   Account Number:

Account Type:    Checking    Savings

Authorization Type:    Recurring debit    One-time debit

Authorized Debit Amount (if fixed):   First Effective Date:

By signing this Agreement, Client authorizes Company to initiate debit and, if necessary, credit entries and adjustments for any amounts erroneously debited, to the bank account indicated above. Client represents and warrants that the account information provided is accurate and that Client is an authorized signer on the specified account. This authorization shall remain in effect until Company receives written revocation at least days prior to the next scheduled transfer. Client agrees to notify Company of any changes to account information in writing prior to the next scheduled debit.

Client acknowledges that ACH transactions may be subject to the operating rules of the ACH network and agrees to be bound by those rules. Client is responsible for all fees and penalties imposed by Client's financial institution for returned or dishonored entries resulting from insufficient funds or incorrect account information. Company may suspend services and collect any outstanding balance using any lawful means if debits are returned unpaid.

Term and Termination

Term Start Date:   Term End Date (if applicable):

Either party may terminate this Agreement for convenience upon written notice to the other party provided at least days prior to termination. Termination for cause may be immediate where the non‑breaching party provides written notice specifying the breach and, if curable, a day cure period.

Confidentiality

Each party shall treat as confidential and shall not disclose to any third party any non-public information obtained from the other party in connection with this Agreement, including pricing, business processes, customer data, and technical information ("Confidential Information"), except as required by law or as necessary to perform obligations under this Agreement. Confidential Information does not include information which is or becomes publicly known without breach of this Agreement, is already known to the receiving party without restriction, or is independently developed without reference to the disclosing party's Confidential Information. Each party shall use at least the same degree of care to protect Confidential Information as it uses to protect its own similar confidential information, but in no event less than a reasonable degree of care.

Governing Law

This Agreement shall be governed by and construed in accordance with the laws of the State of without regard to its conflicts of laws principles.

Entire Agreement

This Agreement, including any exhibits and the EFT authorization set forth herein, constitutes the entire agreement between the parties with respect to the subject matter and supersedes all prior and contemporaneous agreements, proposals, or representations, whether written or oral. Any amendment must be in writing and signed by authorized representatives of both parties.

Certification: By signing below, the signer certifies that they are an authorized representative of the party they represent, that all information supplied herein is true and correct, and that they authorize the EFT debits/credits described in this Agreement.

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