Authorization for Automatic Payment

Authorization for Automatic Payment

I authorize the YMCA of Rapid City to initiate monthly charges to my bank account or credit card institution for payment of my YMCA membership and/or program fees due under the Monthly EFT Plan. I authorize my financial institution to honor these charges to my account. The YMCA of Rapid City will notify me in advance via first class mail whenever my membership and/or program fees change. I authorize the YMCA of Rapid City to continue monthly charges based on the changed membership and/or program fees.

This authorization is to remain in effect until revoked by me in writing. Until the YMCA receives and has had a reasonable time to act on such notice, the YMCA shall be fully protected in honoring any charge by the YMCA of Rapid City against my account named on the front. I agree to notify the YMCA, in writing, of any changes and/or cancellations by the end of the month, to take effect the following month. I understand that there are no refunds on membership dues.