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Travel Authorization Form ACH

    MADURO TRAVEL INC./MADURO DIVE ACH DEBIT AUTHORIZATION --- USA CHECKING/SAVINGS ACCOUNTS ONLY - INDIVIDUAL ACH MUST BE A TRAVELER NAMED ON RV

    This authorization is only used for all payment(s), deposit and/or final payment, associated with the supplied Maduro invoice RV # specified. After receiving fully completed authorization from Business/Individual Named, your account will be debited. For your security, all information submitted is fully encrypted on our database. All payments are in USDollars. * Indicates required information in order to submit.



    (all debit authorization information must match to the selected payment account)



    DEBIT AUTHORIZATION

    I/we authorize ­­­Maduro Travel Inc. DBA Maduro Dive, to initiate debit entries to our account indicated below at the depository financial institution named below. I/we understand that this authorization will remain in full force and effect until the RV# below is paid. I/we can notify [email protected] to revoke this authorization only before debit is completed which is 24 hours after submission.

    Business/Individual Debit Information*






    This authorization is only used for all payment(s) associated with the supplied Maduro invoice RV # specified. After receiving this authorization from the Business/Individual Named, your account will be debited. For your security, all information sent is database encrypted.

    Business/Individual Account Holder Debit Authorization*





    Maduro Memberships and Accreditations