Dear…

RE: __(Name)__ - __(Reference/Policy)__ __(#)__

I do hereby give authorization to __(name of organization)__ to automatically withdraw monthly __(payments/premiums)__ from my credit card for __(Briefly describe what the payments are for)__, as indicated below:

********************************************************** Name: ___________________________________________________

First Middle Last

Address:__________________________________________________

Street/Box # City State/Province Zip/Postal Code

Phone Number: ________________________

VISA ___ MasterCard ___ AMEX ___ Discover ___

CARD # ___________________________________________

Expiry Date: ____/_____

Mo. Year

Monthly Withdrawal Amount: $____________

Authorized Signature: X______________________ Date: _________

********************************************************* I trust you will find all to be in order and thank you for your attention to this matter.

Yours truly,

7 - Billing Error

Dear…

RE: Billing Error

We have recently received a bill from your company for __($amount)__ along with a letter that states our account may be turned over to a collection agency if not paid within __(#)__ days. Needless to say, this is very upsetting because, in fact, we have no outstanding debt with your company at all. Nor have we ever been billed for such an amount.

Please provide us with an immediate explanation for this insult. As a customer whose been in good standing with your company for __(length of time)__, I think we deserve to be treated better than this.

Yours truly,