ACH Authorization

Sign and complete this form to authorize Waverly Cabinets to make ongoing debits to your checking or savings account. By signing this form, you give us permission to debit your account for the amounts needed to process orders requested. This is permission for an ongoing transactions as needed.

Name

By filIing out the form below and providing my signature, I authorize Waverly Cabinets to charge my bank account for ongoing transactions for purchases approved by the person above.

If you don’t know your reference number, order number or job name, use your last name with the month and year of your project or order. (ex: SMITH032026)
Billing Address
Shipping Address
Account Type
Customer Name on Account

I understand that because this is an electronic transaction, these funds may be withdrawn from my account as soon as my order is placed. In the case of the payment being rejected for Non-Sufficient Funds (NSF), I understand that Waverly Cabinets may at its discretion attempt to process the charge again within 30 days, and I agree to an additional $25.00 charge for each attempt returned NSF, which will be initiated as a separate transaction from the authorized payment. I acknowledge that the origination of ACH transactions to my account must comply with the provisions of U.S. law. I will not dispute Waverly Cabinets’ billing with my bank so long as the transaction corresponds to the terns indicated in this agreement.

Clear Signature