Electronic Funds Transfer Authorization Form (EFT) – Bank Draft

As a duly authorized check signer on the financial institution listed below, I authorize DFW Performing Arts Conservatory to perform scheduled electronic funds transfer debits and/or credits from my account identified below for payments due or when applicable, apply electronic funds credits to the same. This applies to check by phone payments as well as any other electronic payments. I understand the dollar amount can vary depending on the services performed. Monthly tuition payments will be transferred and processed on the 1st of the month in which they are due.

Furthermore, if any such electronic debit(s) should be returned by my financial institution for any reason, including non-sufficient funds (NSF), I authorize DFW PAC to collect a returned item fee of $30.00 per item by electronic debit from my account identified below. For accounting purposes, all electronic debits will be reflected in the monthly bank statement that corresponds with the account identified below.

IF THE 1ST FALLS ON A WEEKEND TUITION WILL BE DRAFTED THE FRIDAY BEFOREHAND

I understand and authorize all of the above as evidenced by my signature below.