Authorize Peridot Assist to draft your scheduled payment-plan installments automatically from your bank account.
If you've set up a payment plan with Peridot Assist, this form authorizes us to draft each installment automatically from your bank account on the agreed schedule. To complete it:
Nothing is drafted until we receive your signed authorization, and you can cancel at any time with three business days' written notice.
One page · PDF · print, sign, and return
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Trouble with the form? Call (770) 284-5353 or email build@peridotassist.com and we'll send it to you directly.