ACH Debit Authorization Form

Off Leash K9 Training

1900 10th Street, Cayce, SC 29170

803-610-4122

ACH Debit Authorization Form
Account Holders Address
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I hereby agree to pay the Total Amount Owed in full and authorize Off Leash K9 Training to Debit the Bank Account referenced herein, via the Automated Clearing House system, according to the parameters specified herein. This authority will remain in effect until the Total Amount Owed/payment(s) are completed as specified herein. If a payment is returned for any reason I acknowledge that I am subject to a rejected item fee of $25 or the maximum amount allowed by law.
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