By clicking "submit," I authorize Newman & Marquez, P.A. to initiate a one-time payment from my account entered above on or after today's date. I agree that the ACH transaction that I authorize complies with all applicable laws. If you made this transaction on a business day (generally Monday-Friday between 8:00 am - 4:00 pm eastern time), you may cancel or revoke the authorization by emailing our office at info@NewmanMarquezPA.com by the end of the business day. For questions about this transaction, you may contact Newman & Marquez, P.A. by emailing info@NewmanMarquezPA.com or by mailing a letter to 12595 SW 137th Ave, Suite 209, Miami, FL 33186 or by calling us at 305-665-9633. In the case of an ACH Transaction being rejected for Non-Sufficient Funds (NSF) I understand that Newman & Marquez, P.A. may at its discretion attempt to process the charge again within 30 days, which may result in an NSF fee.
It is recommended that you print a copy of this authorization and maintain it for your records.