Payment Account Information:
Depository Institution Name
______________________________
ABA Routing Number
______________________________
Account Number
______________________________
Company (identified below) hereby agrees to make payment of any and all amounts as Company may owe from time to time to Thread Bank and its successors and assigns (“Issuer”) pursuant to the [Vergo Charge Card Program Terms] (collectively, the “Account Agreement”), as amended from time to time, between Company and Issuer, through Automated Clearing House (“ACH”) transfers. Company hereby authorizes Issuer, Vergo Technology, Inc (“Program Manager), and their designees to initiate debit or credit entries to the Company deposit account identified above (the “Account”) and further authorizes Company’s bank holding the Account (“Depository Bank”) to accept such entries initiated by Issuer or Program Manager and to debit or credit such entries to Company’s Account without responsibility for the correctness of the entries. Issuer and Program Manager may make such debit or credit entries at any time when amounts are due or payable under the Account Agreement. Without limiting the foregoing, Company authorizes Issuer and Program Manager to resubmit any entries for amounts owed under the Account Agreement that are rejected or returned. Company also authorizes Issuer and Program Manager to issue any credit or debit entries needed to correct any errors in processing a payment or prior ACH entry, to verify all information regarding the Account and Depository Bank, and to correct such information if incorrect. Company agrees to be bound by the NACHA Operating Rules in effect when any debit or credit entry is submitted. This authorization shall remain in effect until terminated upon ten (10) days’ notice by either Company or Issuer. Notice of termination shall not affect debit or credit entries made prior to actual receipt of notice. Company shall not place a debit block on the Account or otherwise take any action that would interfere with the ability of Issuer or Program Manager to initiate or receive ACH payments pursuant to this authorization.
Company and any person signing this agreement on behalf of the Company represents and warrants to Issuer and Program Manager that the Account is a commercial purpose account and is not used for any personal, family, or household purpose.
Any person signing this agreement on behalf of the Company hereby acknowledges that said person is duly authorized to do so and to bind the business to this Agreement.
Company Name:
______________________________
Authorized Representative:
______________________________
Title:
______________________________
Date:
______________________________
[By clicking “Agree,” you agree to this authorization.]
