Recurring ACH Payments: You authorize us to initiate a series of recurring ACH charges (debits) on a monthly basis stated herein. You authorize us to apply the funds we receive in payment of your Contract and to continue making these charges to your deposit account on or near the same date(s) each month until the earlier of the date the Contract is paid in full or the charges are cancelled by you, your depository institution or by us.

You understand and agree that these ACH charges may be made to your deposit account on the next business day after any ACH payment date that falls on a weekend, holiday, or other day when we or depository institutions are not open for business. You authorize us, if necessary, to initiate electronic credit entries by ACH at any time to correct any errors we might make.

Cancelling Payments and Other Terms:  We may cancel these ACH charges to your deposit account at any time and for any reason, without giving you advance notice. Even if this happens, you must still make your Contract payments on or before the due dates scheduled in the Contract. You may cancel our authorization to make ACH charges to your deposit account at any time by notifying us or by notifying your depository institution.The party you notify must be allowed a reasonable period of time to process your cancellation request (at least three (3) business days for multiple non-recurring ACH payments and for recurring ACH payments). Contact your depository institution directly for more information about how to cancel ACH charges through the depository institution. To notify us of any ACH cancellation request or any ACH charge you believe was made in error, you must either write to us at Bridgecrest Acceptance Corporation, 7300 E. Hampton Ave., Suite 101, Mesa, AZ 85209; call us at 800-967-8526; or submit the information to us electronically using the Payment Options page (Bridgecrest.com/PaymentOptions) and forms for our website (Bridgecrest.com). You certify the information shown is correct and complete to the best of your knowledge and that you are individually authorized to have funds deducted from the designated deposit account to make Contract payments. You agree we did not require you to sign this form and that you voluntarily elected to do so for your convenience and to make payments required by the Contract. You agree to keep sufficient funds in your deposit account to pay the full amount of these payments on the dates scheduled. If an ACH charge to your deposit account is returned to us unpaid due to insufficient funds, you understand and agree that we may initiate additional ACH charges to your deposit account after that in an effort to collect payment to the extent allowed by the ACH rules. You understand that you are liable to us for any fees that may be due under the Contract if any payment is late or returned to us unpaid, as allowed by the Contract and applicable law. You agree that the ACH transactions authorized by this form comply with all applicable law.

By clicking the confirm button above, you agree to all terms and conditions in this Voluntary Authorization for Electronic (ACH) Payments as of the date shown below and agree that you received a completed copy of this form. Please print or keep a copy of this authorization with your account records.