Payment Authorization & Disclaimer

By submitting this form, I authorize Ferguson Accounts to debit the indicated account for the invoice listed on the payment screen. I understand and agree to the following:

• This authorization will remain in effect immediately after pressing submit. Funds will not be able to be canceled, stopped or rerouted.

• I am responsible for ensuring that the account information provided is accurate. Ferguson Accounts is not responsible for delays or losses due to incorrect or incomplete banking information submitted.

By clicking Submit, I acknowledge that I have read and agree to these terms.