ACH

I authorize Cochrane Co-op Telephone to deduct my billing payments from my checking/savings account listed above. I acknowledge that the origination of ACH transactions to my account must comply with the provisions of U.S. law. I understand that I control my payments and if at any time I decide to discontinue this service, I will notify Cochrane Co-op Telephone directly. If the balance in my account is not sufficient to cover the dollar value of the debit entry, a $15.00 returned payment fee will be added to my account, and may result in termination of the program. All information will remain confidential. I hereby acknowledge and agree that when I type my name in the space provided below, it serves as my electronic signature, and I intend to be legally bound by the content of the document to which this electronic signature is affixed. I understand that this electronic signature is considered the equivalent of my handwritten signature and holds the same legal validity and enforceability. By typing my name and proceeding, I am electronically signing and executing this document as of the date I affix my electronic signature.