One Time ACH Payment Authorization

By clicking “Authorize,” you give us permission to debit your account for the amount indicated on or after the indicated date. This is permission for a single transaction only and does not provide authorization for any additional unrelated debits or credits to your account.

I understand that because this is an electronic transaction, these funds may be withdrawn from my account as soon as the submitted transaction date. In the case of the payment being rejected for Non Sufficient Funds (NSF), I understand that Hollow & Company, LLC may at its discretion attempt to process the charge again within 30 days. I agree to an additional $25.00 charge for each attempted returned NSF, which will be initiated as a separate transaction from the authorized payment. I acknowledge that the origination of ACH transactions to my account must comply with the provisions of U.S. law. I will not dispute Hollow & Company, LLC billing with my bank as long as the transaction corresponds to the terms indicated in this agreement.