Payment Authorization

I authorize my bank to debit my account as identified above to the terms stated here. This authorization shall remainin affect until Makki Masjid and bank receive written notification from me of intent to terminate at such time and in such manner as to afford Makki Masjid and bank reasonable opportunity to act (minimum 30 days).

All other changes such as payment amount, frequency, bank account number change, will require a new PaymentAuthorization Form to be filled out and submitted to Makki Masjid 30 days prior to any change being implemented.I understand that this payment plan may be cancelled by Makki Masjid due to NSF(non-sufficient funds) I will beliable to pay an NSF fee of $25.00 (or amount allowable by law) which may be automatically debited for each NSF.

I represent and warrant that I am authorized to execute this payment authorization for implementing this paymentplan. I indemnify and hold Makki Masjid harmless from damage loss or claim resulting from all authorized actionshereunder.