Automatic Payments

Here's How Recurring Payments Work:

AUTO PAY (electronic funds transfer) is the easiest way for you to pay your tuition fees over time. It's simple and secure.

How does it work?

Once you enroll in Auto Pay, your financial institution will automatically send us your payment from your bank account on the day it is due.

There is no additional costs to you. The simple authorization form allows us to bill your financial institution or credit card on the due date.
Your record of payment will be listed each month on your banking or credit card statement and you will receive a receipt as usual when the payment goes through.
You can pay by credit card or check.

What about security?

Payment is made by your financial institution only with your authorization. What's more: federal consumer safeguard regulations are even more stringent for Auto Pay than when you pay by check, which means Auto Pay is more secure than conventional checking.

How do I sign up?

Read the AUTHORIZATION and check the check box below to agree to the terms.

How do I discountinue Auto Pay?

Complete this form and check the appropriate box.

What do I need to do now?

1. Sign this form to give us the authorization to automatically withdraw payments
2. Call or bring your credit card into the office so we can enter your card information into the system
3. Call or bring your checking account information into the office so we can input your checking and routing number into the system

AUTHORIZATION(Required)

I agree to the terms below

I hereby authorize my financial institution to make periodic payments on my behalf from the account listed above and transfer it to A to Z Building Blocks. I understand that I am in full control of my payments, and if at any time, I decide to make any changes or discontinue this service, I will notify A to Z Building Blocks. Change of payment method will not affect the terms of my contract.

I understand that if funds are not available on the agreed terms of payment, I will be charged the $25 late fee for insufficient funds.

I understand that it is my responsiblity to complete the autopay form to enroll and disenroll in autopay. I understand and authorize A to Z Building Blocks to continue to use autopay until the form has been submitted.

By checking the box below, I am agreeing to the Auto Pay Authorization.

Payer Name(Required)

First Last

Email Address(Required)

Today's Date(Required)

Enroll or Remove(Required)

I want to ENROLL for the Autopayment option

I want to DISCONTINUE the Autopayment option

I want payments removed:(Required)

Signature

Draper

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