This portion of the form authorizes Capital City Oil to be paid with an electronic bank transaction. You will need to upload a voided check below.
This authorization is to remain in full force and effect until COMPANY has received written notification from me (or either of us) of its termination in such time and manner as to afford COMPANY and FINANCIAL INSTITUTION a reasonable opportunity to act on it.
• All written debit authorizations must provide that the Receiver may revoke the authorization only by notifying the Originator in the manner specified in the authorization.
• Single entry reversals do not require authorization by the Receiver.