I authorize Sunrise Management to initiate either an electronic debit or to create and process a demand draft against my bank account according to the terms outlined below.
I acknowledge that the origination of ACH transactions to my account must comply with the provisioning of United States law.
Terms of Billing
______ Starting on January 1st ______ and on the 1st of each month following through December 31, _____ for the amount of $_______.

Bank Information
Bank ABA Number [Customer's Routing Number]
Bank Account Number [Customer's Account Number]
Bank Account Type: [Checking/Savings/Business Checking]

This payment authorization is to remain in full force and effect until I,_______ , notify Sunrise Management of its cancellation by sending written notice in such time and in such manner to allow both the [Merchant Name] and receiving financial institution a reasonable opportunity to act on it.

[Customer Signature]
[Customer Printed Name]
[Date Signed]