Common use of OFFICE USE ONLY Clause in Contracts

OFFICE USE ONLY. Month/year of 1st deduction: Month/year of last deduction ***Deductions must end the month after the end of the purchased membership period (i.e. Fall only = last pull 1/1; Fall/Spring = last pull 6/1). Last deductions for Annual/Summer memberships will occur on 8/1. If deduction form is received by end of business on the 10th of the month, the first deduction will be on the 1st of the next month (i.e. sold on 9/3, then deducted 10/1). If the deduction form is received after the 10th of the month, the first deduction will be on the 1st, but two months away (i.e. sold on 9/17, deducted on 11/1).*** Grand Total: $ Total # of Deductions: Amount/Deduction: $ I hereby authorize the University of North Texas Payroll Office to deduct a monthly fee from my check to pay for my Xxxx Recreation Center membership and/or locker and/or towel service. In order to cancel the deduction, I understand that I will need to contact the Recreational Sports Office (Xxxx Rec Center, Room 103) to sign the appropriate forms to stop my membership and/or locker and/or towel service. I understand that cancellation of the deduction will go into effect the month after my completing all of the necessary steps with the Recreational Sports Office. I understand that I must cancel the deduction through the Recreational Sports Office by the 10th of the month prior in order to have the deduction stopped by the next pay period. Deductions will only be taken for those months designated above. I understand, based on timing of deductions, if I cancel my payroll deduction prior to any deductions being made, I will be charged for the amount of time used up to that point. I understand and agree that if for any reason there are insufficient funds to cover the authorized deduction in any given month, then a double deduction will take place the following month and increased deductions will continue until the amount owed is paid in full.

OFFICE USE ONLY. Month/year of 1st deduction: Month/year of last deduction ***Deductions must end the month after the end of the purchased membership period (i.e. Fall only = last pull 1/1; Fall/Spring = last pull 6/1). Last deductions for Annual/Summer memberships will occur on 8/1. If deduction form is received by end of business on the 10th of the month, the first deduction will be on the 1st of the next month (i.e. sold on 9/3, then deducted 10/1). If the deduction form is received after the 10th of the month, the first deduction will be on the 1st, but two months away (i.e. sold on 9/17, deducted on 11/1).*** Grand Total: $ Total # of Deductions: Amount/Deduction: $ I hereby authorize the University of North Texas Payroll Office to deduct a monthly fee from my check to pay for my Xxxx Recreation Center membership and/or locker and/or towel service. In order to cancel the deduction, I understand that I will need to contact the Recreational Sports Office (Xxxx Rec Center, Room 103) to sign the appropriate forms to stop my membership and/or locker and/or towel service. I understand that cancellation of the deduction will go into effect the month after my completing all of the necessary steps with the Recreational Sports Office. I understand that I must cancel the deduction through the Recreational Sports Office by the 10th of the month prior in order to have the deduction stopped by the next pay period. Deductions will only be taken for those months designated above. I understand, based on timing of deductions, if I cancel my payroll deduction prior to any deductions being made, I will be charged for the amount of time used up to that point. I understand and agree that if for any reason there are insufficient funds to cover the authorized deduction in any given month, then a double deduction will take place the following month and increased deductions will continue until the amount owed is paid in full.