
Get Direct Debit Enrollment Form (ach Authorization) Please Complete This Form To Automatically
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The script you use to obtain authorization must include: The date of debit. The amount (or alternatively, the method of determining the amount) Payer's name. Payer's contact number. The account to be debited: ... Date of authorization. A statement that the authorization is for a Single Entry ACH debit (for one-off payments)
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