Client ACH Authorization Form

I hereby authorize Paysimple, Inc. (“Paysimple”), BlueSnap Inc (“BlueSnap”), Armatic Inc (“Armatic” )(“Payment Processor”) that FreeeUp uses on behalf of FreeeUp LLC (“FreeeUp”), to initiate ACH transactions, including debits, to the bank account information (“Client Account”) that I, the Client, enter on the BlueSnap/ website in order to pay amounts that I owe to FreeeUp in accordance with the services for which FreeeUp has been engaged as described in the Client Agreement entered into between Client and FreeeUp or other understanding between FreeeUp and Client and, if necessary, to initiate adjustments for any transactions credited or debited in error. Client agrees to the ACH transaction method pursuant to the Client Agreement between Client and FreeeUp and this Client ACH Authorization Form (“Agreement”). Such debits will be initiated by Payment Processor on behalf of FreeeUp or FreeeUp out of the applicable Client Account(s) at the financial institution (“Bank”) provided by Client pursuant to this Agreement. Client authorizes Bank to charge the applicable Client Account(s) in accordance with the provisions of this Agreement. I represent and warrant that I have full authority to bind the organization that owns the Client Account(s), and to authorize all transactions to and from the Client Accounts(s) that are initiated through Payment Processor on FreeeUp’s behalf. In the event the individual, on behalf of Client, does not have full and unrestricted authority to enter into this Agreement, or provide the payment information, they agree they can be jointly and severally liable for any damages incurred by FreeeUp arising out, related to associated with this Agreement.

Client understands it may be contacted by a FreeeUp or a representative of Payment Processor on FreeeUp’s behalf to make arrangements for a wire transfer of funds for impounds exceeding the established dollar limit for processing by ACH which shall be determined at FreeeUp’s discretion.

I acknowledge and warrant that all transactions initiated by/originated to the Client Account(s) must comply with the provisions of U.S. law, agrees to be bound by and warrants it will comply with the NACHA Rules.

To start the process, FreeeUp will send Client a $10 invoice to their email, via Payment Processor. The $10 will be credited to Client’s FreeeUp Account and can be refunded at any time if not used. The Client Bank Account information will then be stored securely inside Payment Processor. FreeeUp’s billing period is Wednesday through Tuesday each week and funds are withdrawn to cover all outstanding balances every Thursday or Friday. Client agrees that no prior-notification will be provided by FreeeUp and FreeeUp has the right to withdraw funds to cover overdue invoices for services provided under the Client Agreement or other understanding between Client and FreeeUp at any time. The Client will not be charged any fees for using this ACH service other than those set forth herein. If fees do become applicable, the Client will be notified by FreeeUp.

Client agrees to keep their Client Account information up to date on Payment Processor at all times. At FreeeUp’s discretion it may choose in the future to switch payment processors another provider upon prior written notice. This does not change the terms of the Agreement. Client shall indemnify all Payment Processors on behalf of FreeeUp and FreeeUp, its parent, subsidiaries, predecessors, affiliates, members, directors, officers, insurers, employees and agents, for any claim, demand, loss, liability or expense (including reasonable attorneys’ fees, penalties, fines or interest) resulting from the debiting or crediting of any ACH or a breach of the Agreement.

In the case of an ACH being rejected for Non-Sufficient Funds (NSF) or failing I understand FreeeUp may at its discretion attempt to process the charge again within 30 days, and agree to an additional $20 charge for each attempt returned NSF which will be initiated as a separate transaction. Client is also obligated to contact FreeeUp to get the outstanding balance paid within 48 hours and this can be done using a different payment method if needed. FreeeUp can also require that Client switch from ACH to another method of payment in the future by providing written notice. Client agrees that Banks’s treatment of any charge, and Bank’s rights with respect thereto, shall be the same as if the charge were initiated personally by Client, and that if any charge is dishonored, whether with or without cause, such Bank shall be under no liability whatsoever. Client agrees to keep bank account information up to date and, in the event any banking information does change, Client shall provide FreeeUp and Payment Processor with the applicable change(s) with 24 hours of such change(s). In addition, Client authorizes Payment Proceessor on behalf of FreeeUp or FreeeUp to credit the applicable Client when necessary, at FreeeUp’s sole discretion, for any adjustments to transactions credited or debited in error or for any refund or credit amount due Client.

In the event of any conflict between the terms and conditions of this Agreement and the terms and conditions of any other agreement, this Agreement and the FreeeUp Client Agreement shall control. Client agrees Client’s right to refund under any applicable law shall first be subject to any offset of funds due to FreeeUp with respect to any previous transactions and/or services completed on FreeeUp’s behalf, and subject to the terms and conditions of this Agreement and any other agreement between Client and FreeeUp. I understand this authorization shall remain in effect unless and until revoked in writing by an authorized representative of Client and until the applicable Bank(s), Payment Processor on behalf of FreeeUp and FreeeUp have each received such notice and have had reasonable time, at least 15 days prior to the next billing date, to act upon such notice.

I understand that all payments must be made in full or another method of payment offered by FreeeUp must be authorized and agreed to by FreeeUp prior to revocation of this authorization.


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Signed by Nathan Hirsch
Signed On: April 5, 2017 //
Signature Certificate
Document name: Client ACH Authorization Form
Unique Document ID: b249f2ab00282598ff675ce37e1704ffbbf763ba
Timestamp Audit
2016-09-27 08:45:03 EDT Client ACH Authorization Form Uploaded by Nathan Hirsch - IP