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Get ACH Sign Up Form - Horizon Management Company

MENT FOR DIRECT PAYMENTS (ACH DEBITS) Association Name: Effective the fifth day of each month, I (We) hereby authorize Horizon Management Company, hereinafter called COMPANY, to initiate debit entries to my (our) (Select One) Checking Account Check here if you want to be added to Discretionary ACH (only Savings Account assessments and regular reoccurring monthly charges will be taken) indicated below at the depository institution name below, hereinafter called BANK, in the amount of.

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