Bank Transfer Authorization Form

I authorize 7 Logistics Trucking, LLC to electronically debit my bank account according to the terms outlined below. I acknowledge that electronic debits against my account must comply with United States law.

Starting onfor the amount of $ (SEE BELOW) an accordingly thereafter per the terms in invoce(s) Payments based o weekly invoice amounts in which customer will be emailed every Friday.

Customer bank account information:

Business Name

Routing Number

Account Number

Account Type Required

Personal Checking

Business Checking

Savings

This payment authorization is to remain in effect until I notify of its cancellation by giving written notice in enough time for the business and receiving financial institution to have a reasonable opportunity to act on it. The written notice must be sent by email to info@7logisticstrucking.com and by the original signing authorizer named

Customer First Name

Last Name

Select a date

Phone

Your Signature

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Bank Transfer Authorization Form

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