• Automatic Draft Form

  • I understand that this authorization will be in effect until I notify Randolph Communications in writing that I no longer desire this service, allowing it reasonable time to act on my notification.  I also understand that if corrections in the debit amount are necessary, it may involve an adjustment (credit or debit) to my account.

    I have the right to stop payment within 3 business days of a debit entry by notifying Randolph Communications before the account is charged.  If an erroneous debit entry is charged against my account, I have the right to have the amount of the entry credited to my account by my institution, if, within 60 days following the date on which I was sent a statement of account, I give Randolph Communications a written notice identifying the entry, stating that it is in error and requesting credit back to my account.

  • Electronic Signature: By typing and signing your name below, you agree this is an electronic signature.

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