Authorization for payments. By electronically signing this agreement and giving us your deposit account and/or card information (including any substitute account or card information you or your financial institution later provide (the "Payment Method") you hereby authorize Benefitsme collectively, ("we" or "us" ) to initiate recurring electronic fund transfers ("EFTs") in U.S. Dollars to the Payment Method for each payment due under your Retail Installment Agreement with us in the amounts and on or after the dates set forth in the Retail Installment Agreement (or in accordance with any alternative payment schedule to which you and we agree). You acknowledge that the initiation of EFTs to the Payment Method must comply with U.S. law.
Authorization to vary amount of EFTs. You have the right to receive written notice for any payment that will vary from its scheduled payment amount. To exercise this right, please send a written request to Benefitsme, Attn: Customer Service, 3611 N Ridge Road, Wichita, KS 67205. Unless you exercise this right, you authorize us to vary the amount of any EFT, without notice, so long as such EFT is the amount of any scheduled payment less any partial prepayments up to the total amount of any past due payments.
Rejected EFTs. If an ACH deposit account payment is rejected, you authorize us to re-initiate it up to two additional times, subject to applicable law. Unless otherwise limited by law, if a Card payment is rejected, you authorize us to re-initiate it any number of times, determined in our sole discretion. However, you agree that we are under no obligation to reinitiate any rejected debits. You understand that your financial institution may impose fees in connection with rejected debits, and you agree that we do not have any liability to you for such fees. IF YOU KNOW THAT A PAYMENT WILL BE REJECTED BY YOUR FINANCIAL INSTITUTION (E.G., BECAUSE THERE IS NOT ENOUGH MONEY IN YOUR ACCOUNT), YOU SHOULD CONTACT US AT 800-960-4509 OR CUSTOMERSERVICE@BENEFITSME.COM SO ARRANGEMENTS CAN BE MADE.
Revocation and Termination. You understand that you can revoke this Authorization at any time by writing us at or calling us at 800-960-4509 or emailing us at Benefitsme, Attn: Customer Service, 3611 N Ridge Road, Wichita, KS. Notice of revocation and termination must be received AT LEAST THREE (3) BUSINESS DAYS BEFORE THE NEXT SCHEDULED PAYMENT DUE DATE to avoid the next scheduled payment from being automatically debited from your Payment Method. We may terminate your enrollment in recurring EFTs at any time for any reason, including excessive returned payments. If you cancel this Authorization or if we terminate recurring EFTs to your Payment Method, you understand that you will be responsible for making your payments by another payment method. Terminating this Authorization does not affect your duty to repay amounts due under this Retail Installment Agreement. Your Authorization in no way limits any right you may have under federal law to stop payment of a preauthorized electronic transfer by contacting your financial institution.
Authorization to Correct Errors and Modify Payments. If there is any missing, outdated or erroneous information regarding Your Payment Method, then you authorize us to verify and correct such information. If we make an error in processing an EFT, you authorize us to correct the error by initiating an EFT credit or debit to the Payment Method in the amount of such error on or after the date such error occurs. You authorize us to verify the payment and Payment Method information that you have provided to us. If you make a typographical or similar error in providing us with such information, you authorize us to correct the error upon receiving corrected information from you or your financial institution. Instead of or in addition to any EFTs described above, you authorize us to initiate EFTs to your Payment Method for any amount and on any date that you subsequently direct by phone, email or other method we make available. You authorize us to combine multiple Payments we may be initiating on the same day into a single payment.
Confirmation of Payment Method Status. To help us determine whether a payment under this Authorization will be successful, you authorize us to initiate an authorization request, non-monetary entry or similar entry to the Payment Method and/or to obtain balance information from the financial institution holding the Payment Method. We are not obligated to initiate any payment under this Authorization if we receive information suggesting that it will likely fail.
Miscellaneous. You promise that you are an authorized signer on the Payment Method. You understand that this Authorization is subject to applicable law and network rules. To specify a new Payment Method or account information, you must contact us at Benefitsme, Attn: Customer Service, 3611 N Ridge Road, Wichita, KS 67205 or calling us at 800-960-4509 or emailing us at support@benefitsme.com. This Authorization supplements the terms of your Retail Installment Agreement.
BY ELECTRONICALLY SIGNING, YOU AUTHORIZE US TO ELECTRONICALLY DEBIT YOUR PAYMENT METHOD ON A RECURRING BASIS. YOU ACKNOWLEDGE THAT YOU HAVE READ, UNDERSTAND, AND AGREE TO BE BOUND BY THE TERMS OF THIS AUTHORIZATION. WE WILL POST A COPY OF THIS AUTHORIZATION TO YOUR CONSUMER PORTAL AFTER YOU ELECTRONICALLY SIGN IT.
BORROWER SIGNATURE: [As electronically recorded.] [Effective Date:]