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ACH and Credit Card Authorizations

Your ACH / Credit Card authorization will remain in effect until you cancel it in writing, and you agree to notify Healthcare Financing of America in writing of any changes in your account information or termination of this authorization at least 15 days prior to the next billing date. You agree that no prior notification of these transactions will be provided. If the above noted payment dates fall on a weekend or holiday, you understand that the payment may be executed on the next business day. 

For ACH debits to your checking/savings account, you understand that because these are electronic transactions, these funds may be withdrawn from your account as soon as the above noted periodic transaction date. In the case of an ACH Transaction being rejected for Non Sufficient Funds (NSF) you understand that Healthcare Financing of America may at its discretion attempt to process the charge again within 30 days. You acknowledge that the origination of ACH transactions to your account must comply with the provisions of U.S. law.  You certify that you are an authorized user of the identified bank account and will not dispute these scheduled transactions with your bank so long as the transactions correspond to the terms indicated in this authorization form.

For Credit Card authorizations, you certify that you are an authorized user of the identified credit card and will not dispute these scheduled transactions with your credit card company so long as the transactions correspond to the terms indicated in this authorization form.