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Get Judson University Automatic Payment Agreement Form

Address TO PAY BY CHECKING OR SAVINGS ACCOUNT Bank Information Check One: Checking Savings Name of Financial Institution Bank Routing Number Account Number Please enclose a voided check with this form AUTOMATIC BILL PAYMENT AUTHORIZATION I ________________________, do hereby authorize Judson University to deduct from my checking or savings account my full monthly payment of $_______________. Judson University is authorized to do this on 15th of each month - commencing on (date). I unders.

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