header-bg
Untitled-1
 

  • I (we) hereby authorize the INDY CHAMBER to initiate credit and, if necessary, debit entries and adjustments for any credit entries in error to my (our):
  • I (we) acknowledge that the authority will remain in effect until I have (or either of us) cancelled in writing and that the origination of ACH transactions to my (our) account must comply with the provisions of U.S. law.
  • The authorization is to remain in full force and effect until the INDY CHAMBER has received written notification from me (or either of us) of its termination in such time, and in such manner as to afford the INDY CHAMBER and the financial institution a reasonable opportunity to act on it.
  • Please enter your name again to verify the authorization of this ACH transaction.