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TMG Payment Authorization Form

Place Complete the account information section below and sign the form to enjoy the convenience of automatic recurring billing. All requested information is required. We will automatically bill your account for the amount indicated, and your total charges will appear on your monthly statement. This authorization can be canceled at any time by contacting us.

Customer Information

Terms of Billing

I give permission to Trumpler Marketing Group – TMG Copier Rental to carry out financial transactions from my bank account. This can be done in two ways: either by directly debiting my account electronically or by creating and processing a check (demand draft) on my behalf, as per the details and agreements specified below.

I also understand and acknowledge that any Automated Clearing House (ACH) transactions initiated to my account by TMG Copier Rental must be conducted in accordance with the laws and regulations of the United States.

Payment Options

We offer you the convenience of making payments by phone. This means you can call our office and provide your payment details directly to one of our representatives. This method allows you to securely process transactions without the need for online forms or physical visits.

Card Type
Type of Account

This payment authorization is to remain in full force and effect until I notify Trumpler Marketing Group of its cancellation by sending written notice in such time and in such manner to allow both the Trumpler Marketing Group and receiving financial institution a reasonable opportunity to act on it. 

By checking the box, you acknowledge and accept the terms and conditions associated with automatic recurring billing.

Thanks for your information.

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