Plexo Processing Corp – ACH Payment Authorization Update

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Plexo Processing Corp. is the successor to Synergy World Inc. following an acquisition.

This form is used to confirm your ACH payment authorization on file so that recurring billing can continue without interruption.

By submitting this form, you authorize Plexo Processing Corp. as the billing Originator for all applicable merchant gift and loyalty monthly fees and acknowledge that this authorization replaces any prior authorization issued under Synergy World Inc.

This authorization is governed by applicable NACHA Operating Rules and the ESIGN Act.

Email *

Plexo Processing Corp.

Legal Business Name *

DBA / Store Name *

Merchant ID (if applicable)

Primary Contact Full Name *

Title / Role *

Secondary Email Address

Phone Number *

Bank Name *

Account Type *

Checking

Savings

Last 4 digits of Bank Account on File *

ACH Authorization *

I hereby authorize Plexo Processing Corp. (“Originator”) to electronically debit my bank account for monthly fees related to my merchant services agreement. Bank descriptor will appear as Gift & Loyalty 858-569-8842.

I understand that this authorization replaces any prior authorization issued under Synergy World Inc., and applies to recurring ACH debits until I revoke authorization in writing.

POOLING CREDITS AND DEBITS: Plexo Processing Corp. is currently in a transition period for pooling services only. During this transition, pooling services may continue to be referenced under the name Synergy World Inc. Bank descriptor will appear as Gift Pooling 858-569-8842.

Required

Confirmation Checkboxes *

I confirm I am an authorized signer on this account

I understand and accept the updated ACH authorization

Required

Press Submit below when ready to authorize ACH update.

Thank you!

Plexo Processing Corp.

www.plexopro.com

9474 Kearny Villa Road Suite 103
San Diego, CA 92130
billing@plexopro.com
(858) 569-8842 x 105

* If you need to change your ACH on file to a different one, please email us to receive an ACH FORM at billing@plexopro.com.

A copy of your responses will be emailed to the address you provided.