Type of Account. Checking Savings This authority is to remain in full force and effect until COMPANY has received written notification from me (or either of us) of its termination in such time and manner as to afford COMPANY and FINANCIAL INSTITUTION a reasonable opportunity to act on it. (Print Individual Name) (Print Student Name, if different) Social Security Number Student ID Number (Signature) (Date)
Appears in 2 contracts
Type of Account. Checking Savings This authority is to remain in full force and effect until COMPANY has received written notification from me (or either of us) of its termination in such time and manner as to afford COMPANY and FINANCIAL INSTITUTION a reasonable opportunity to act on it. (Print Individual Name) (Name Signature Print Student Name, if different) Social Security Number Student ID Number (Signature) (Individual Name Signature Date)
Appears in 1 contract
Samples: hillcrestchristianelc.org
Type of Account. Checking Savings This authority is to remain in full force and effect until COMPANY has received written notification from me (or Or either of us) of its termination in such time and manner as to afford COMPANY and FINANCIAL INSTITUTION a reasonable opportunity to act on it. (Print Individual Name) (Print Student Name, if different) Individual ID/Social Security Number Student ID Number Number) (Signature) (Date)
Appears in 1 contract
Samples: Authorization Agreement
Type of Account. Checking Savings This authority is to remain in full force and effect until COMPANY has received written notification from me (or either of us) of its termination in such time and manner as to afford COMPANY and FINANCIAL INSTITUTION a reasonable opportunity to act on it. (Print Individual Name) (Print Student Name, if different) Social Security Number Student ID Number (SignatureIndividual SS Number) (Sewer Account Number) (Telephone Number) (Customer Signature and Date)
Appears in 1 contract
Samples: Authorization Agreement