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Electronic Payment Authorization
0 Electronic Payment Agreement and AuthorizWon Form c gCornpany') sells goods and* services to WESTAR ENERGY. INC erdfor one or more of its whdy owned subsbiledes (herein colle*nely caped WESTAR ENERGY). WESTAR ENERGY desires the flexibility to make payments for such goods andlor services by electronlo funds transfers through the Automated C49aft House (ACH) system, and Company agrees to grant such flexibllity. Therefore, Company (1) authorizes WESTAR ENERGY to make payment for goods and services via ACH, and (2) certifies that a has sebcted the depository institution listed below. "Due to formatting requirements for electronic vendor payments, if our payment to you is being forwarded from a United Stiles financial institution to a financial Institution In another mmtry. pisses contact our Acoauns Payable department at 785-575-1184" Vendor Name: Vender Address: Vendor Conted Name: Vendor Contac Plane: Vendor Contact E4"I address: Vendor's BANK (US banks only) roans: Vendor's BANK address: (atr, •uft zip) I WM SAL1j124 - & S %7�'a 2 -0 7 3C 72gs- 362- 5'-'? 35— Account number: Westar will send files in CTX format unless otherwise designated: PLEASE ATTACH AVOIDED CHECK (to verify aowunt and muting number) Account type (please choose one) © Demand Account a Savings Account: Company will give thirty (30) days advance notice in writing to WESTAR ENERGY of any changes In Its depository Institution or other payment Instructions. When properly executed, the Authorization viii become effective ten (10) business days after its receipt by WESTAR ENERGY. The attached Terms and Conditions for Electronic Payment Transfer are incorporated herein and a pat of this agree<neat. Authorized Officer's Signature: Mae: F 2 1 Zp ( O Title: PLEASE RETURN SIGNED FORM TO: WESTAR ENERGY, INC. ATTN: ACCOUNTS PAYABLE DEPARTMENT PO BOX 888 TOPEKA, KS 66601-0889 PHONE: (M) 575-1164 FAX: (785) ST54311 EMIL: sp_.dmIn@waatsxeneryy.com We think we may have found a better way to pay you. At Westar Energy we are continuously looking at our business practices to determine options to increase our level of customer care and operate more efficiently. We find that many of our great ideas grow from suggestions from our customers. We are writing today because we've been working on a great idea fostered from a community like yours. By using direct deposit for your monthly franchise payment, Westar can help your community speed up the processing time and save both of us money. Here is how it will work. Each month we will electronically deposit your payment directly to a checking account or savings account at the financial institution of your choice. You will be notified of the payment information by e-mail at the same ti^Unless specifically requested by the City, Westar will no longer provide detailed monthly statements of franchise fee revenues and deductions. We believe the advantages of sending and receiving Electronic Fund Transfers are many, including a reduction in the amount of paper in the office; valuable time savings for staff and avoidance of hassle associated with going to the bank; elimination of the risk of checks being lost or stolen; faster access to funds; and easier reconciliation of payments with bank statements. To activate this service immediately, please fill out the enclosed form and fax it, along with a voided blank check, to 785-575-1870. You may also mail the form and voided check to our office at the address listed on the form. We will be contacting you soon to answer any questions. But in the meantime, feel free to call me at 785-575-1947. Thanks for your consideration. Itis a pleasure to.serve your community. Sincerely, Coleen Burgess Communications Coordinator 818 S Kansas Ave I PO Box 889 1"1*ka, Kansas 66601.0889