AUTHORIZATION FOR RECURRING PAYMENTS

AUTOMATED CLEARING HOUSE AUTHORIZATION

(RECURRING AUTHORIZATION)

I authorize Javitch Block LLC to initiate a debit entry to my account and agree to this recurring electronic funds transfer from my bank account and to debit the account for the amount and frequency agreed upon.

TERMS & CONDITIONS REGARDING RECURRING PAYMENTS

1.     By giving us your bank and contact information and responding 'I agree' to our request to process recurring debits to your account,  you agree that you have signed or similarly authenticated this agreement and your verbal authorization provided by phone constituted your signature; and

2.     You understand that you have the option to make payment to us by mailing your payment by check, or money order; and

3.     An authorization to conduct an ACH transfer may result in the withdrawal of funds from your account as soon as 24 hours from the time we receive your authorization; and

4.     You understand that your account will be debited on the Payment Date or the next business day following the Payment Date, should the Payment Date fall on a weekend or legal holiday; and

5.     For each payment date greater than 3 days from today, we will send you a confirming notice no later than 3 days before, nor earlier than 10 days before, containing the date on or after which your account will be debited; the amount of the debit entry; your name; a telephone number to reach us during normal business hours; and a statement that the authorization obtained from you will be used to originate an ACH debit entry to your account; and

6.     You understand that our confirming notices will be sent to your Mailing Address above. If you move, you must notify us of a change of address in writing should you wish to continue to receive such notices. Otherwise, in the event you fail to update your mailing address with us in writing, you waive further notices of intent to debit under 15 U.S.C. § 1692f(2), and agree this writing satisfies those notice requirements; and

7.     If your payment is returned unpaid for insufficient or uncollected funds, you understand that a charge or fee may be imposed by your financial institution in accordance with your deposit agreement with your financial institution; and

8.     You understand that your authorization may be revoked or cancelled by you, if we receive notice from you, not less than three business days in advance of the scheduled payment date (see below). If you need more information about any such transaction, you should contact us as soon as possible to discuss your payment; and

9.     If you believe at any time that your account has been debited improperly, you should immediately contact your financial institution; and

10.  By choosing to use a bank account as your payment method, you will be able to complete your payment using any valid ACH-enabled bank account at a United States-based financial institution; and

11.  You understand that this consent is effective until this consent is revoked by you orally or in writing; and

12.  We sent you a free paper copy of this authorization in the mail within ten business days of our phone conversation for you to keep; and

13.  You understand that to revoke your consent to electronic communications, you must call us at 216-687-1199, or write to us at the address listed below, attention: Revoke Consent.

Version 4.6