Agreement Form

Terms and Conditions

Please read carefully
This pre-authorized payment plan (PAP) is for the convenience of the customer. The customer certifies that the information provided is correct and that the customer's bank account is in good standing with sufficient funds to cover pre-authorized payments as they come due. This pre-authorized payment plan can be terminated at any time by the customer upon written notification or by Internet Access Solutions with or without notification. Upon termination, any amount due shall be paid directly to Internet Access Solutions. Cancellation of pre-authorized payment does not constitute cancellation of service by Internet Access Solutions, and the customer shall be liable for any past, present or future amounts owing. Claims for reimbursement of any unauthorized debit must be made in writing within 90 days following the date of the relevant debit. Delivery of this authorization to Internet Access Solutions constitutes delivery to the financial institution noted. Internet Access Solutions is authorized to disclose the information contained in this authorization to any financial institution necessary to complete the relevant transaction

Credit CardDebit Card

Credit Card

I authorize Exoon Enterprises Inc to debit my credit card with the amount due shown on my monthly Exoon Enterprises Inc invoice or statement:

VISAMasterCard Holder’s Name

Pre-authorized Debit (PAD) Agreement

These services are for (check one)

PersonalBusiness

I authorize EXOON Enterprises Inc. to debit my bank account (attach void cheque) for the amount due shown on my monthly EXOON invoice or statement.

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I may revoke my authorization at any time in writing an Email, subject to providing notice of at least ten (10) business days. A service charge of $50.00 will be applied to any declined credit cards or pre-authorized payment charge backs.

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