Connected Service: Wur-Link (POTS Replacement)

Billing Information

First Name on Account

Last Name on Account

Card Number

Current card on file: XXXX-XXXX-XXXX-2869

* CVV

Expiration Date

Bank Name

Account Holder Type

Account Type

Routing Number

Account Number

Need help finding your routing number or account number?

Billing Address:

* Address 1

Address 2

* Billing Country

* Billing State

* Billing City

* Billing ZIP Code

ACH AUTHORIZATION AGREEMENT

08/17/2024

By clicking the button below I affirm that I have proper authority and authorize Wurtec, Inc. to charge this bank account owned by SC Department of Employment & Workforce or as specified in the form above, starting on 01/24/2025, and every 12 months thereafter, until this subscription is canceled, for the amount of $720.00 for Wur-Link (POTS Replacement). If SC Department of Employment & Workforce makes changes to this subscription that affect these terms, this agreement will remain in effect according to the updated terms.

In the event that an incorrect amount is debited from this account, I authorize Wurtec, Inc. to credit this account in order to correct the situation. This payment authorization is valid, in compliance with NACHA regulations, and will remain in effect unless I, or another authorized user, notifies Wurtec, Inc. of its cancellation by contacting Wurtec Subscription Services <setup@wurtec.com> or 1-800-837-1066.

Signed,

* Authorizer First Name

* Authorizer Last Name

Merchant contact info: