I (we) hereby authorize W & H Cooperative Oil Company, hereinafter call COMPANY, to initiate debit entries to my (our) Checking Account indicated below at the depository financial institution named below, hereinafter called DEPOSITORY, and to debit the same to such account. I (we) acknowledge that the origination of ACH transactions to my (our) account must comply with the provisions of the U.S. law.
Payments are taken from your checking account on the 15th of each month. If the 15th of the month does not work for you, please enter a date below that will. Disclaimer: The payment will come out on the date of your choosing each month unless other arrangements have been made by the office. This authorization is to remain in full force and effect until COMPANY has received written notification from me (or either of us) of its termination in such time and in such manner as to afford COMPANY and DEPOSITORY a reasonable opportunity to act on it.