ANSWERFIRST TELECOMMUNICATIONS
PHONEFARE-ANSWERFIRST-LEWISVILLE TAS-ANSWERFIRST NORTH/SOUTH
205 E. Center St.
BANK DRAFT AGREEMENT
Name: __________________________________________
Address:_________________________________________
City: ______________________ State: ______ Zip: _______
TeleSvc Account #: ________Today’s Date: ______________
I hereby authorize the Message Center, (Answerfirst or one of its subsidiaries) to draft a check for all services incurred on the above noted account on each billing cycle ___
Check Detail:
Checking Account Information:
Name____________________________________________________________________
Address:_________________________________________________________________
City: __________________________________________________State, Zip:__________
Phone:___________________________________________________________________
Checking Account #:_______________________________________________________
Check #:_________________________
Bank Information:
Bank Name:________________________________________________________________
Bank Address:______________________________________________________________
City:______________________________________________State, Zip:________________
Phone #:___________________________________________________________________
Bank Routing #:____________________________________________________________
Fraction # on Check:_____________________________________________________________________
(Digits on the botton o the check)
I understand that if my account becomes 2 billing cycles past due, this agreement serves as authorization to draft a check on my account, bringing my account current.
________________________________________________
Authorized Signature on the checking account
Date Signed_________________________________________________
**Please print sign and return via e-mail or fax along with a copy of a voided ck.**
Our fax # is 214-739-9672
