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ACH AUTHORIZATION


ACH PAYMENT AUTHORIZATION FORM


This ACH Authorization (“Authorization”) is between Time to Align (“Company”) and the undersigned (“Client”) regarding organizing services performed at the Client’s location (“Service Location”).

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Client Authorization for ACH Debits

By signing this form, the Client authorizes the Company to initiate electronic debit entries from the bank account identified below.

 

Payment Process

  • The Company will issue an invoice and email it to the Client.

  • The Client agrees to review the invoice within 3 business days of receipt.

  • To authorize payment, the Client must reply to the invoice email with the word “Approved.”

  • Upon receiving approval, the Company will process the payment as an ACH transfer using the bank account information provided below.

 

The transaction will appear on the Client’s bank statement as an “ACH Debit.”

No additional prior notification will be provided unless the invoice amount differs from what was originally presented.

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Fees

A 1% ACH processing fee will be added to the invoice as a line item and is the Client’s responsibility.

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Client Contact Information, Agreement & Signature​

By agreeing to these terms and signing electronically, the Client confirms they have read, understood, and agree to be bound by this Agreement. Electronic signatures hold the same legal weight as handwritten ones.​​​​

Banking Account Information

Account Type Required

Client Information

Thank you for completing the ACH Authorization Form!

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