PO Box 5580 – Kent WA 98064 – Phone 253.852.1618 – Fax 253.859.4463

Electronic Authorization Form

1.     I Hereby authorize Consolidated Electrical Distributors, Inc. (CED) to make an electronic deposit of my payments via ACH (draft) or other Electronic Funds Transfer (EFT) when presented with a check (physically or by fax or phone) from Company/Customer below.

2.     I Certify that I am a signer on the account listed below with the authority to grant this authorization on behalf of Company/Customer.

3.     I Hereby request, authorize and direct Company/Customer’s bank to honor and to treat as authorized checks, drafts or funds drawn in Company/Customer’s name in accordance with this authorization.

4.     I Certify that in the event that any such draft or EFT is returned unpaid, I agree to have the account debited electronically (drafted) for an item fee of $25.00, plus any applicable taxes.

5.     I Certify that this authorization shall remain in full force and effect and the authority herein given to CED shall remain until CED receives written notice of revocation of such authority. Revocation shall not effect any action taken prior to receipt of such notice.

6.     This form supercedes any and all previous authorizations.

.

Please return completed form and a voided blank check (not deposit slip) 
to Consolidated Electrical Distributors, Inc. (CED), NW Division Credit at 
P.O. Box 5580, Kent, WA  98064, or fax to 253-859-4463.

  Saving time & money, better control & security - it’s that simple!



Payments Processed by American Check Management, Inc.