Below is the  Pre-Authorized Paymenttemplate body. If necessary, please put the personal information, company information, such as text to replace the specific content you need. you can download the .doc template file on the end of the article by click download link. 



March 11, 2014


Contact Name
Address
Address2  
City, State/Province
Zip/Postal Code



OBJECT: PRE-AUTHORIZED PAYMENT, VARYING AMOUNT


Dear [CONTACT NAME],

This letter is to acknowledge that [COMPANY/INDIVIDUAL] is hereby authorized to withdraw the amount due on our [NATURE OF CHARGES] on a [PERIOD OF PAYMENT] basis on the [NUMBER OF DAYS AFTER BILLING DATE] day after the billing date:


Bank:      [BANK NAME AND ADDRESS]
Bank Transit No:  [BANK TRANSIT NO.]
Account No:    [ACCOUNT NUMBER]
Bank Tel. No.    [BANK TELEPHONE NUMBER]
Bank Contact    [NAME OF BANK CONTACT & TITLE]


This shall be your good and sufficient authority for so doing. We enclose an unsigned check from the account marked "VOID".


[NOTE: IF MORE THAN ONE SIGNATURE IS REQUIRED ON ACCOUNT, MAKE SURE BOTH BANK SIGNING OFFICERS SIGN LETTER]


Sincerely,




[YOUR NAME]
[YOUR TITLE]
[YOUR PHONE NUMBER]
[YOUREMAIL@YOURCOMPANY.COM] 


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