Payment Options

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As incorporated and recited in the signed Lawn Mowing and Maintenance AND Lawn Care and Treatment Agreementof which this is an integral part:

Pre-Authorization

In order for Dream Greener Lawn & Landscape, LLC to provide Client with the services and/or products that Client requests,pre-authorization of payment is required, unless Client has paid by cash, personal check, or money order.

Client selects one of the following authorizations and provides the information requested below completely and accurately.

Select One

Please provide the information requested below completely and accurately:

Nameyour full name
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Addressstreet, state, zip
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Phone Numberyour full name
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Payment Type (Credit Card or Check)
Pay with Credit Card
Select One:
Account Number
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Expiration Date
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CVVLast 3 digits on back of card, 4 digits on front of AmEx card
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Pay with Check
Select One
Bank Name
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Bank City and Stateyour full name
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Bank Routing Number
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Bank Account Number
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Under the above-selected pre-payment authorization, I authorize Dream Greener Lawn & Landscape, LLC to charge or debit the account provided above for the products and/or services costs and fees set forth in this Agreement plus applicable taxes and to maintain a record of the above account information. I understand and agree that this authorization will remain in effect, at least, until all contracted and/or scheduled payments have been paid in full; after which, I may cancel it in writing at least 15 days prior to the next billing date. I agree to notify Dream Greener Lawn & Landscape, LLC in writing of any changes in my account information and/or of termination of the above-selected account by the financial institution at least 15 days prior to the next billing date. If the above noted payment dates fall on a weekend or holiday, I understand that the payments may be executed on the next business day. For ACH debits to my checking or savings account, I understand that because these are electronic transactions, these funds may be withdrawn from my account as soon as the above-noted periodic transaction dates. In the case of an ACH transaction being rejected for non-sufficient funds (NSF) I understand that Dream Greener Lawn & Landscape, LLC may, at its discretion, attempt to process the charge again, and agree to the above-mentioned additional charge for each attempt returned NSF which will be initiated as a separate transaction from the authorized payment. I certify that I am an authorized user and signer of the above selected credit or debit card or bank account and will not dispute these payment transactions with my bank or credit card company so long as the transactions correspond to the terms indicated in this authorization form and I certify that all of the information above is complete and accurate.

Agreement to Terms
Client Nameyour full name
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Signature of Authorized Account User and Signer(Agreement effective whether type-printed or written signature)
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Today's DateSelect Day
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This Agreement, in its online form, is fully effective only when all required information has been provided, completed, and signed by Client and received, confirmed, and acknowledged by Dream Greener.

2018 © DREAM GREENER LAWN & LANDSCAPE LLC.

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