Authorization
I understand that this authorization will remain in effect until I cancel it in writing. I agree to notify Northgate Associates in writing of any changes to my account information or termination of this authorization at least 15 days in advance. If the payment date falls on a weekend or holiday, I understand the payment may be executed on the next business day. In the case of an ACH Transaction being rejected for Non-Sufficient Funds (NSF) I understand that Northgate Associates may at its discretion attempt to process the charge again within 30 days and I agree to a $50 charge for each Non-Sufficient Funds (NSF), which will be initiated as a separate transaction from the authorized recurring payment. I acknowledge that the origination of ACH transactions to my account must comply with the provisions of U.S. law.
By signing (typing your name) in the space below, you are certifying that you are an authorized user of this 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.