AUTHORIZATION FOR ELECTRONIC FUNDS TRANSFER OR CREDIT CARD PAYMENT In order to provide for convenient payments to The Excelsior Springs Community Center, the member authorizes electronic funds transfer (EFT) from specified checking/savings account or credit card in the amount due on or after the date specified. Your bank or credit card statement may reflect a variation of ActiveNet, our software host. In no event shall a revocation of authority be effective with respect to entries the bank honors electronic funds transfer by charging the specified account or when the charge is made to the specified credit card, the funds transfer or charge shall constitute the receipt of payment. Should any electronic transfer or charge not be honored then it is understood that payment is to be made by the member in the amount of said payment. This agreement also allows the Excelsior Springs Community Center to initiate a reversing entry to a member’s account in the event that an error occurs.
I have read the waiver and release of liability and the authorization agreement on EFT or credit card payment and authorize the payment as stated.