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Get Withdrawal Form For School

S: Check here and insert your name, signature and date below if you would like to continue automatic withdrawals as previously authorized from the same bank account. This will also authorize auto-payment in June of the non-refundable seating fee. AUTHORIZATION AGREEMENT FOR DIRECT PAYMENTS (ACH DEBITS) I (we) hereby authorize American Heritage Schools, Inc. (the School ), to initiate debit entries to my (our) Checking Account/ Savings Account (select one) indicated below at the de.

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