3719 Old Alabama Road
Alpharetta, GA 30022
9420 Wileo Road
Roswell, GA 30075
3375 Holcomb Bridge Road
Norcross, GA 30092
45 Enterprise Path
Hiram, GA 30141
3105 Peachtree Parkway
Suwanee, GA 30024
2615 Peachtree Industrial Blvd.
Duluth, GA 30097
4977 Lanier Islands Parkway
Buford, GA 30518
455 S. Greenwood Park Drive
Greenwood, IN 46142
8163 W. State Road 56
West Baden, IN 47469
643 Massachusetts Ave.
Indianapolis, IN 46204
2271 Pointe Parkway
Carmel, IN 46032
1070 W. Main St.
Plainfield, IN 46204,
10973 E. U.S. Highway 36
Avon, IN 46123
796 Cincinnati-Batavia Pike
Cincinnati, OH 45245
10808 Montgomery Rd.
Cincinnati, OH 45242
I authorize Impact to initiate automatic credit entries to our account & credit the same account. Further, I agree not to hold Impact PM Solutions responsible for any delay or loss of funds due to incorrect or incomplete information supplied by me or by my financial institution or due to an error on the part of my financial institution in debiting funds from my account.
This agreement will remain in effect until Impact PM Solutions receives a written notice of cancellation from me or my financial institution, or until I submit a new direct credit form to the company.
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