Laserfiche WebLink
TERMINIX <br /> Summary of Charges <br /> Product Amount Tax Discount Total Amount <br /> Initial Term Residential Inside/Outside $189.00 $0.00 $50.00 $139.00 <br /> Pest Control <br /> Grand Total: $139 <br /> Product Merchandise Quantity <br /> Purchaser Payments <br /> By signing below,[,the cardholder,have authorized Terminix to process this one-time payment without further signature or <br /> authorization from me. <br /> Authorization <br /> Purchaser Name: KULJITKAUR Purchaser(Sgnature): Date: 02/09/2018 <br /> AUTOPAY:Purchaser authorizes Terminix to automatically debit Purchaser's checking account or credit card,as indica7ofa <br /> an amount equal to any recurring service charges due to Terminix under this Agreement within five (5) days of the da <br /> becomes due.This authorization will remain in effect until the fifth business day following Terminix's receipt from Purcwritten notice to cancel such authorization.Purchaser understands that cancellation of this authorization does not can <br /> Purchaser's obligations under this Agreement. <br /> Visa ending in 2972 exp.0920 Will be charged $139.00 as Initial Charge <br /> Visa ending in 2972 exp.0920 Will be charged $99.00 as Billing Frequency Quarterly <br /> Authorization <br /> Purchaser Name: KULJITKAUR Purchaser(Sgnature): Date: 02/09/2018 <br />