ACH PAYMENT Today's Date(Required) Account Name(Required)Company Name (if applicable)Phone(Required) Country Phone Number Email(Required) Account Type(Required)Personal CheckingPersonal SavingsBusiness CheckingBusiness SavingsRouting Number(Required)Account Number(Required)Amount(Required)Is this a recurring charge?(Required) Yes No Signature(Required)Your NameYour NameYour NameYour NameConsent(Required) By signing and submitting this form I hereby authorize Home Automation Hawaii to process our payments via ACH for the agreed upon amounts.(Required)I authorize Home Automation Hawaii LLC to electronically debit the account identified in this authorization according to the payment amount and terms indicated. If a payment date falls on a weekend or bank holiday, the payment may be processed on the next business day. I agree to maintain sufficient funds in the account for each authorized payment. If a payment is returned for insufficient funds, incorrect account information, or other bank-related reasons, I authorize Home Automation Hawaii LLC to resubmit the transaction within thirty (30) days and understand that a returned payment fee may apply as permitted by law. For recurring payments, this authorization will remain in effect until revoked by me in writing with sufficient notice before the next scheduled payment. Transactions processed in accordance with this authorization are authorized by me, subject to applicable law.
