Free Automatic Payment Plan Template
Automatic Payment Plan
I. Company Information
[Your Company Name]
[Your Company Address]
II. Introduction
Welcome to the Automatic Payment Plan arrangement with [Your Company Name]. This plan is designed to facilitate seamless and hassle-free payments for your recurring utility bills. By authorizing automatic payments, you can ensure that your utility bills are paid on time without the need for manual interventions.
III. Payment Details
Please find below the schedule and detailed breakdown of your automatic payments:
|
Payment Schedule |
Amount |
Due Date |
Payment Method |
Confirmation Number |
|---|---|---|---|---|
|
Monthly |
$100 |
15th of each month |
Credit Card |
ACT123456 |
|
Quarterly |
$300 |
15th of every 3rd month |
Direct Debit |
ACT654321 |
IV. Terms and Conditions
By enrolling in the Automatic Payment Plan, you agree to the following terms and conditions:
-
Authorization: You authorize [Your Company Name] to automatically withdraw the specified amounts from your designated payment method.
-
Payment Timeliness: Ensure that sufficient funds are available in your account on the due date to avoid payment failures.
-
Changes to Payment Plan: Any changes to the payment schedule or method must be communicated to [Your Company Name] at least 15 days prior to the next scheduled payment.
-
Cancellation: You may cancel the Automatic Payment Plan by providing a 30-day written notice to [Your Company Name].
V. Contact Information
If you have any questions or need further assistance, please contact us at:
[Your Name]
Email: [Your Email]
Phone: [Your Company Number]
VI. Agreement
By enrolling in the Automatic Payment Plan, you acknowledge that you have read, understood, and agreed to the terms and conditions outlined above.
[Customer's Name]
Date: _______________
