I, blanks, parent of blank agree to the payment terms as outlined above. For ACH Payments, by signing below, I authorize Class 101 to make one-time or regularly scheduled charges to my bank account. By signing this form, I give Class 101 permission to debit my account for the amount indicated for each billing period until the designated expiration date. I agree that no prior notification will be provided unless the date or amount changes, in which case, I will receive notice from Class 101 at least 10 days prior to the payment being collected. I understand this authorization will remain in effect until I cancel it in writing, and I agree to notify Class 101, in writing, of any changes in my account information or termination of this authorization at least 15 days prior to the next billing date. If the above noted periodic payment dates fall on a weekend or holiday, I understand that the payment may be withdrawn from my account by the above noted periodic transaction dates. In the case of an ACH Transaction being rejected for Non-Sufficient Funds (NSF), I understand that Class 101 may attempt to process the charge again within 30 days, and I agree to an additional $50 charge for rejected attempts. These charges will be initiated as a separate transaction from the authorized recurring payment. I acknowledge that the origination of ACH transactions to my account must comply with the provisions of U.S. law. I agree not to dispute this recurring billing with my bank so long as the transactions correspond to the terms indicated in this authorization form.
If you are paying by ACH, credit card, or setting up an installment plan, once this form is submitted, please contact Class 101 to provide your payment information 720-767-3101.