Authorization for Direct Payment via ACH (Direct Deposit) from the Kettering Fairmont Athletic Boosters
I (we)name of payee* authorize Kettering Fairmont Athletic Boosters to electronically debit my (our) account and, if necessary, electronically credit my (our) account to correct erroneous debits as follows:
at the depository financial institution named below. I (we) agree that ACH transactions I (we) authorize comply with the applicable law.
I (we) understand that this authorization will remain in full force and effect until I (we) notify the Kettering Fairmont Athletic Boosters by email (firstname.lastname@example.org) that I (we) wish to revoke this authorization.
After completing this form, click SUBMIT. You will receive a confirmation email. If you do not receive the email within a few minutes, please check your spam. If you have questions email email@example.com.