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At the request of * (your name)
representing * (your company) (Client)
Yellow Outsourcing is providing the following Service Agreement.
Yellow Outsourcing will provide the service(s) selected below for Client,
which will begin on * (Today’s date. Note: You will not be billed until you hire your first agent)
Client agrees to pay for services in US dollars every month that service(s) is active.
 
Services:
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$0.00 (Waived )
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Please tell us what you envision your Yellow Outsourcing agent doing for you?
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CLIENT INFORMATION:
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PAYMENT INFORMATION
YOU WILL NOT BE CHARGED UNTIL THE FIRST WORKING DAY OF YOUR CHOSEN REP, IF YOU DO NOT SELECT A REP OR NO REP EVER STARTS ON YOUR ACCOUNT YOU WILL NEVER BE CHARGED AND THIS AGREEMENT WILL BE CANCELLED AT NO COST OR OBLIGATION TO YOU.
   
AUTHORIZATION FOR RECURRING DIRECT PAYMENTS (ACH DEBITS)/ CREDIT CARD PAYMENTS
In consideration of the services provided to me by Yellow Outsourcing, as listed above, I hereby authorize Yellow Outsourcing to initiate a debit entry to my account indicated below at the depository financial institution named below, hereinafter called DEPOSITORY, and to debit the same to such account for the amount and frequency listed below. I acknowledge that the origination of ACH transactions to my account must comply with the provisions of U.S. Law.
   
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PAYMENT INFORMATION:

Account Number:
Routing Number:
Drivers License State:
Drivers License No:
Expiration Date:

 

Card Number:

Expires: /

Security Code:

Frequency: Monthly basis
 
The specific debit to my account authorized herein may only post on or after the EFFECTIVE DATE listed above, and in no event may the debit transaction post to my account prior to said date. This authorization is to remain in full force and effect until Yellow Outsourcing has received notification from me of termination in such time and in such manner as to afford Yellow Outsourcing and DEPOSITORY a reasonable opportunity to act. I may terminate this authorization anytime by contacting Yellow Outsourcing directly at the address and phone number listed above.
   
Name: *
Authorization Date: *
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