OBJECT: PRE-AUTHORIZED PAYMENT, VARYING AMOUNT Dear [CONTACT NAME], This letter is to acknowledge that [COMPANY/INDIVIDUAL] is hereby authorized to withdraw the amount due on our [NATURE OF CHARGES] on a [PERIOD OF PAYMENT] basis on the [NUMBER OF DAYS AFTER BILLING DATE] day after the billing date: Bank: [BANK NAME AND ADDRESS] Bank Transit No: [BANK TRANSIT NO.] Account No: [ACCOUNT NUMBER] Bank Tel. No. [BANK TELEPHONE NUMBER] Bank Contact [NAME OF BANK CONTACT & TITLE] This shall be your good and sufficient authority
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