pre-authorized charges
  • Authorized Agreement for Pre-Authorized Charges

  • As a convenience to me, I hereby request and authorize you to pay and charge to my account checks drawn on my account by and payable to the order of PayPlus, LLC provided there are sufficient collected funds in my account to pay such checks upon presentation. I agree that your rights in respect to each check shall be the same as if it were a check drawn on you and signed personally by me. This authority is to remain in effect until revoked by me in writing, and until you actually receive such notification. I further agree that if any such check is dishonored, whether with or without cause and whether intentionally or inadvertently, you shall have no liability whatsoever.

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  • PayPlus, LLC 6 Columbine Drive Nashua NH 03063 978-649-3777

    Please submit electronically or download, sign, and fax completed form to (866) 677-4222 or (866) 677-4334. (Cover sheet is not needed.)

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