Common use of Customer Number Clause in Contracts

Customer Number. The undersigned (the “Customer”) hereby authorizes VFS US LLC, and its affiliates and subsidiaries (the “Company”), to initiate automatic debit entries (withdrawals from) the financial institution indicated by the Customer, called (“Depository”), and to automatically withdraw funds from such account. The undersigned understands that the amounts withdrawn from this account may vary each month according to the terms of the lease, loan, service contract, or other form of agreement. Customer acknowledges that the origination of ACH transactions to Customer’s account must comply with the provisions of U.S. law. The Customer understands that the Company reserves the right to discontinue this automatic withdrawal service at any time. This authorization is to remain in full force and effect until Company has received written notification from the undersigned (if more than one, any one of the undersigned) of its termination in such time and in such manner as to afford Company and Depository a reasonable opportunity to act on it. The Customer or authorized ▇▇▇▇▇▇ for Customer must complete: Customer Name: AMERIOUEST LEASING & MAINTENANCE, INC. DBA Cure Leasing & Maintenance Authorized Signature: X /s/ ▇▇▇▇▇ ▇▇▇▇▇ Print Name: ▇▇▇▇▇ ▇▇▇▇▇ Title (if applicable): Exec V.P. Email: First Draft Date: FAX Completed Form and Copy of Check to: ▇▇▇-▇▇▇-▇▇▇▇ Or mail to: VFS US LLC, ▇.▇. ▇▇▇ ▇▇▇▇▇, ▇▇▇▇▇▇▇▇▇▇, ▇▇ ▇▇▇▇▇-▇▇▇▇ Reminder: Please attach an unsigned voided check or copy of check from the depository financial institution. The request cannot be processed without this item. Internal Use Only: Customer Service Specialist: Date Received: Date Completed: PO Box 7247-0236 PAYMENT INVOICE ▇▇▇▇▇▇▇▇▇▇▇▇, ▇▇ ▇▇▇▇▇-▇▇▇▇ This first invoice is being printed for you with your contract documents for your convenience. Future invoices will be sent through the regular billing process that you choose. PLEASE RETURN THIS PORTION WITH YOUR PAYMENT. Customer Name: AMERIQUEST LEASING & MAINTENANCE, INC. DBA Cure Leasing & Maintenance ▇▇ ▇▇▇ ▇▇▇▇-▇▇▇▇ ▇▇▇▇▇▇▇▇▇▇▇▇, ▇▇ ▇▇▇▇▇-▇▇▇▇ Questions? Please call ▇▇▇-▇▇▇-▇▇▇▇ text 3905) Customer Name: AMERIQUEST LEASING & MAINTENANCE, INC. DBA Cure Leasing & Maintenance Customer Name: AMERIQUEST LEASING & MAINTENANCE, INC. DBA Cure Leasing & Maintenance VFS US LLC has provided financing to the borrower listed above. Please issue an insurance certificate, in the borrowers name, for the following piece(s) of equipment: Please include the following information on the Insurance Certificate: · Complete Equipment Description (See Below: Year, Make, Model, Serial Number, Value) · Type of Coverage (example: Inland Marine, Contractors Equipment, Equipment Floater, Etc.) · Physical Damage Coverage for full value of equipment (see below) with a maximum deductible of $2500.