Direct Deposit Form

  • I , hereby authorize Therapon Skin Health, hereinafter called COMPANY, to deposit monthly commissions earned directly into my account through an electronic credit to my (our) account (and if necessary, to electronically debit my/our account to correct erroneous credits) listed below. I/we agree that ACH transactions to my (our) account comply with all applicable law.
  • This authority is to remain in full force and effect until COMPANY has received written notification from me (or either of us) of its termination in such time and manner as to afford COMPANY and FINANCIAL INSTITUTION a reasonable opportunity to act on it.