Payment Authorization Agreement
I authorize Kumon - Decatur GA to debit my account as identified above. This authorization remains in effect until the stated terms are met or I provide written notice of termination, allowing at least 30 days for processing.
Any changes to payment amount, frequency, or bank account details require a new Payment Authorization submitted at least 15 days before the change takes effect. Kumon - Decatur GA may cancel this payment plan if funds are uncollectible, and I agree to pay a fee for each returned payment.
If my electronic debit is returned for insufficient or “held” funds, it may be re-presented electronically, and my account will be charged the payment amount plus a $40 reprocessing fee.
I confirm that I am authorized to execute this agreement and indemnify Kumon - Decatur GA, the check processor, and the bank from any claims related to authorized transactions.