Shah’s Halal Food Tech Support ACH form

Purpose of Payment:

• Point Of Sale Tech Support Cloud Access

• Signage System Hosting and Management

Payment : $49.99/month

Legal Business name :

Owner name :

Address:

Your email

Bank Account No:

Routing No:

Account Type :
CheckingSaving

I, the undersigned, hereby authorize ASN IT Inc to initiate ACH debit entries to my bank account indicated above and, if necessary, to initiate adjustments for any transactions credited in error. This authorization is to remain in full force and effect until I provide written notification of termination or change. I understand that any changes will require a minimum of 10 business days' notice.

Submit