Four Twelve Roofing LLC - Invoice Payment

Customer / Company Name*

Invoice / Reference Number*

Payment Amount (USD)*

Email Address*

Payment Authorization

I authorize Four Twelve Roofing LLC to charge my payment method provided above for all agreed upon purchases. I understand that my information will be saved on file for future transactions on my account.

If you have elected to pay electronically, you authorize Four Twelve Roofing LLC to automatically debit your bank account/debit card or charge your credit card, in agreement with the contract signed between you and Four Twelve Roofing LLC. You authorize Four Twelve Roofing LLC to store your payment method for future payments by you and any verified users on the account. The amount of each payment will be reflected in your contract. If you find a billing error and notify Four Twelve Roofing LLC at least 4 days before your invoice is due, we will attempt to correct the error before the next payment. Otherwise, we will automatically debit/charge the amount reflected on your invoice. After terminating your authorization, you will be responsible for scheduling payments for subsequent charges. You also authorize Four Twelve Roofing LLC to credit your bank account/card in the appropriate amount for any refunds or other billing adjustments.

Payment Authorization

I/we authorize Four Twelve Roofing LLC to debit the provided account for payments of all invoices issued by Four Twelve Roofing LLC when they become due.

Notification
I agree to wave any regulatory requirements for pre-notification of debits

Recourse
You have certain recourse rights if any debit does not comply with this agreement. For example, you have the right to receive reimbursement for any PAD that is not authorized or is not consistent with this PAD Agreement. To obtain more information about your recourse rights, you can visit www.payments.ca.

Cancellation
This authority is to remain in effect until Four Twelve Roofing LLC has received written notification from you of its change or termination. This notification must be received at least ten (10) business days before the next debit is scheduled in writing by email to accountsreceivable@fourtwelveroofing.com. You may obtain a sample cancellation form, or more information on your right to cancel a PAD agreement at your financial institution or by visiting www.payments.ca.

Payment Authorization

I/we authorize Four Twelve Roofing LLC to debit the provided account for payments of all invoices issued by Four Twelve Roofing LLC when they become due.

Notification
I agree to waive any regulatory requirements for pre-notification of debits

Recourse
You have certain recourse rights if any debit does not comply with this agreement. For example, you have the right to receive reimbursement for any PAD that is not authorized or is not consistent with this PAD Agreement. To obtain more information about your recourse rights, you can visit www.https://www.nacha.org/ .

Cancellation
This authority is to remain in effect until Four Twelve Roofing LLC has received written notification from you of its change or termination. This notification must be received at least ten (10) business days before the next debit is scheduled in writing by email to null. You may obtain a sample cancellation form, or more information on your right to cancel a PAD agreement at your financial institution or by visiting www.nacha.org .

I have read and agree to the payment authorization terms above.*

Thank you for your payment.