ࡱ> _a^q  bjbjt+t+ HuAAG r]|||||||844HD6`$li|0 "0 0 4 ||D4 4 4 0 ||||||0 4 4 F||0lx98  Please check one:  FORMCHECKBOX  SET-UP  FORMCHECKBOX  CHANGE  FORMCHECKBOX  CANCEL COMPANY INFORMATIONCompany Name:  FORMTEXT      Company Address:  FORMTEXT      City:  FORMTEXT      State:  FORMTEXT      Zip:  FORMTEXT      Company Contact:  FORMTEXT      Company Phone Number:  FORMTEXT       TAKE PAYMENT FROM ONE OF THE FOLLOWING ACCOUNTSPayment Type Financial InstitutionRouting/Transit Number (9 digits)Account Number (maximum 14 digits)Checking* FORMTEXT       FORMTEXT       FORMTEXT      Savings* FORMTEXT       FORMTEXT       FORMTEXT       *Please include a VOIDED CHECK if choosing the deduction from your checking account. TRANSFER PAYMENT TO DESTINATIONU.S. Bank Central Pay Account Number:  FORMTEXT    FORMTEXT    FORMTEXT    FORMTEXT   -  FORMTEXT    FORMTEXT    FORMTEXT    FORMTEXT   -  FORMTEXT    FORMTEXT    FORMTEXT    FORMTEXT   -  FORMTEXT    FORMTEXT    FORMTEXT    FORMTEXT   FORMCHECKBOX  List Attached CONFIRMATION OF PAYMENT SET UPYour National Account Manager will confirm your set up. Until then, please continue to pay your monthly balance. After your set up is complete, the AutoPay payment amount9s) and date(s) will be clearly indicated on your statement. TERMS AND CONDITIONSPayments can be made from a checking or savings account from most banks in the United States. Payments made after 6 PM CST, will be posted on the next business day. TelePay payments will be recognized on your monthly statement by the transaction description of TelePay Payment. If there are non-sufficient funds (NSF) in the account on the day of payment, U.S. Bank National Association ND will apply a $15.00 fee per NSF transaction if payment is not completed for the entire amount after being presented two times. This authority will remain in effect until you notify U.S. Bank in writing (U.S. Bancorp Service Center, Inc., P.O. Box 6344, Fargo, ND 58125-6344) to cancel it, allowing U.S. Bank National Association ND reasonable time to act. By signing below, you (the account holder) authorize the creditor and issuer of the U.S. Bank Visa Commercial Card account, U.S. Bank National Association ND, to process telephone payments from your designated checking or savings account to make payments to your U.S. Bank Visa Commercial Card account. Your signature also indicates your agreement to the TelePay terms and conditions. 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