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ACH AUTHORIZATION FORM


I, , with a residential address of , (herein referred to as "the Client") hereby authorize BONAFIDE WORLDWIDE, LLC., (herein referred to as “the Consultant”) doing business as (herein referred to as "d/b/a") BONAFIDE FUNDING to initiate withdrawal(s) from my checking or savings account at (herein referred to as “the Financial Institution"), and, if necessary, initiate adjustments for any transactions credited/debited in error. This authority will remain in effect until the Consultant has been fully compensated for services rendered between the parties named in this agreement for a consulting agreement dated on or around the effective date of this agreement. 

 

Address of the Financial Institution:  

Routing Number:

Account Number:

Account Name: Address:

Authorized Agent/Officer Name (Business Only):  

Effective Date: October 1, 2020

 

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Document name: ACH AUTHORIZATION FORM
lock iconUnique Document ID: 57e8bd180c03d635ccf162e615ce7d2e07cf8721
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October 3, 2018 9:42 am CDTACH AUTHORIZATION FORM Uploaded by Bonafide Funding - info@bonafidefunding.com IP 2601:244:5480:198e:ada6:6e47:c716:3c32