direct debit authorization For automatic withdrawal How it works: Payments will be withdrawn from your designated account at the beginning of each 4-week installment of lessons. Due to holidays, weekends, and your your payment may bank’s policies, not reflect on your account for a variable of days. Enrollment in the automatic withdrawal option will continue until either the end of the semester, or termination of enrollment from the Academy. In the case of premature termination, the remainder of unpaid tuition will still be collected via monthly installments unless the payee provides that payment in advance. The Academy Director will seek your written permission to continue with the automatic withdrawal program for future semesters/terms. Authorization: I (we) authorize First Baptist Church Arnold, doing business as the Performing Arts Academy at First Baptist Arnold, to initiate electronic debit entries to my Checking Savings account for payment of music lessons & extracurricular programs. I acknowledge that the origination of ACH transactions to my account must comply with the provisions of U.S. law and I have read the terms explicated in the sections of this agreement. how it works My signature authenticates my consent for regular and scheduled payments via my checking/savings account: Today’s Date: __________ Bank Name: ______________________________ Account No: ______________________________ Routing No: ______________________________ City and State: ____________________________ Printed Name: ___________________________ Signature: _______________________________
direct debit authorization For automatic withdrawal How it works: Payments will be withdrawn from your designated account at the beginning of each 4-week installment of lessons. Due to holidays, weekends, and your bank’s policies, your payment may not reflect on your account for a variable of days. Enrollment in the automatic withdrawal option will continue until either the end of the semester, or termination of enrollment from the Academy. In the case of premature termination, the remainder of unpaid tuition will still be collected via monthly installments unless the payee provides that payment in advance. The Academy Director will seek your written permission to continue with the automatic withdrawal program for future semesters/terms. Authorization: I (we) authorize First Baptist Church Arnold, doing business as the Performing Arts Academy at First Baptist Arnold, to initiate electronic debit entries to my Checking Savings account for payment of music lessons & extracurricular programs. I acknowledge that the origination of ACH transactions to my account must comply with the provisions of U.S. law and I have read the terms explicated in the how it works sections of this agreement. My signature authenticates my consent for regular and scheduled payments via my checking/savings account: Today’s Date: __________ Bank Name: ______________________________ Account No: ______________________________ Routing No: ______________________________ City and State: ____________________________ Printed Name: ___________________________ Signature: _______________________________