|
Convenient, Automated Monthly Payment Option
Dear Customer;
For your convenience, Jabco-AlarmSoft is pleased to introduce a new payment option. We have recently implemented automatic check-debiting or automatic monthly credit card processing for our Software Technical Support Programs. Currently, we accept Mastercard, Visa, & American Express. We ask that you consider using this safe and secure automated method for payment, as this is one step we are taking to control our increasing costs of manually handling our billing expenses.
If you need further assistance, call our office at (757) 226-7226 and we’ll be happy to answer your questions.
To sign-up for this service, please fill out the form below for credit card processing, or fill out the form on the back for check debiting, and return it with your current payment. We will notify you by phone confirming receipt of your application and let you know when the auto billing will begin. Once started, your account will be processed around the 10th of each month. If you are currently billed quarterly or annually, your billing cycle will be changed to monthly to accommodate the automatic monthly system. If you do not elect to take advantage of this service, your current billing methods will not change.
□ Please sign me up for the automatic credit card billing system. (Complete info below)
AlarmSoft Account Number:____________ Customer Name:____________________________________ □ Mastercard □ Visa □ American Express
Card Number_______________________________________ Expiration Date__________________
□ Please sign me up for the automatic check debiting service. (Complete form on backside)
I hereby authorize Jabco-AlarmSoft to charge my CREDIT CARD or CHECKING ACCOUNT for normal monthly services and I understand that the terms and conditions of the License Agreement for this account remain in force.
Signed____________________________ Printed Name_____________________________ Date_____________ Additional Information□ I would like to be called about updating my hardware. □ I would like to be called about updating my software. □ I would like to know how to save money using the new Central Station Wizard.
AUTHORIZATION AGREEMENTACH PREAUTHORIZED PAYMENTS (DEBITS)
I hereby authorize JABCO-ALARMSOFT, to initiate debit entries or such adjusting entries, either debit or credit, which are necessary for corrections, to my CHECKING account, indicated below and the financial institution named below to credit (or debit) the same to such account.
FINANCIAL INSTITUTION NAME CITY STATE
TRANSIT/ROUTING NUMBER ACCOUNT NUMBER
I understand that this authorization will be in effect until I notify my financial institution in writing that I no longer desire this service, allowing it reasonable time to act on my notification. I also understand that if corrections in the debit amount are necessary, it may involve an adjustment (credit or debit) to my account.
I have the right to stop payment of a debit entry by notifying my financial institution before the account is charged. If an erroneous debit entry is charged against my account, I have the right to have the amount of the entry credited to my account by my financial institution. I agree to give my financial institution a written notice identifying the entry, stating that it is in error, and requesting credit back to my account. I will provide this written notice within 15 calendar days following the date on which I was sent a statement of my account or a written notice of such entry, or 45 days after posting, whichever occurs first.
NAME
SOCIAL SECURITY NUMBER or FEDERAL ID #
SIGNATURE DATE
(PLEASE ATTACH A VOIDED COPY OF A CHECK |