Continual Automatic Payment Agreement

*** This agreement signs you up for continual quarterly payments****
Continual Automatic Payment Agreement

Dear Sir/Madam: You have expressed an interest in allowing us to automatically pay your above-referenced account with the credit card of your choice. We accept credit card payments from Visa, MasterCard and Discover. Please supply us your credit card number, expiration date and Vcode (found on the back of card) so that we may verify the information we have on file. As you know, our billing cycles are quarterly and occur in the months of January, April, July and October. We begin billing for the next quarter approximately on the 25th of the last month of the current quarter. This means that your payment would be processed between December 25th–January 1st for the first quarter, March 25th–April 1st for the second quarter, June 25th–July 1st for the third quarter and September 25th– October 1st for the fourth quarter. If you are using a debit card, please remember to mark your account accordingly based on these dates. Thank you for your interest in automatic credit card payments. If you have any questions, please do not hesitate to contact our office. Sincerely, Davis Disposal

I hereby authorize Davis Disposal to access the following credit/debit card in the amount above for my quarterly trash service. My credit/debit card number is as stated above and that I understand that this payment will be withdrawn from my account between the dates listed above. At any time that I wish to discontinue this service, I will contact Davis Disposal and request same. Davis Disposal will protect my credit/debit card information and not share same with any outside parties.

 
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