I hereby consent to Ohana Care having knowledge of my credit card information and that it is the obligation of Ohana Care to keep secure such information. Ohana Care has my approval to automatically charge the weekly invoiced amount for services rendered to the credit card I have on file. I understand that it is my responsibility to contact Ohana Care immediately and advise of any changes to the credit card information on file.
Important: Upon Ohana Care adding your credit or debit card to our payment system, you will see a $0.50 authorization charge labeled: BAM*OHANA CARE. This is how we verify that the credit or debit card has been entered correctly. This authorization charge is reversed within 2 - 5 days.
I/we authorize my/our financial institution to debit/credit my/our account on (or after) the withdrawal date (on or after the 29th of every month) of each invoice for all amount owing to Ohana Care. This authorization is valid for the account information specified above, or any other account which I/we may designate in the future in lieu of the account specified above. I/we understand that in the event that a payment is returned by the bank for any reason, that I/we will be responsible for NSF and/or $25 administration charges.
I/we may cancel this agreement at any time by providing written notice at least (15) fifteen days before the next appointment date.