In order to serve our customers better, we have instituted a plan by which payments for orders can be made via Fax or Email. This is to expedite shipping and to avoid C.O.D. Charges. By using this method of paying, orders can be shipped out to you sooner*.* Product availability determines delivery times.  The CHECKMAN system allows us to draft the amount of your order from your account, thereby eliminating the wait for your check to arrive before shipping. Several days can be saved.

1. Make your purchase order as usual and fax to E.S.A. mark P.O. " DRAFT PAYMENT AUTHORIZED "

2. E.S.A. will confirm order, including freight (if applicable) & Fax back to you.

3. Make your check out to E.S.A. for the full amount and FAX IT and the completed CHECKMAN form to E.S.A.

4. Keep original check / form attached to your P.O./ make note that E.S.A. will draft that amount from your account

5. A copy of the draft will be either faxed, emailed or mailed to you to confirm transaction

6. E.S.A. will print and deposit draft and goods will be shipped.

7. Recurring transactions, after first time use, put on purchase order "DRAFT PAYMENT AUTHORIZED" assuming that bank information has not changed. If changed please supply new bank info on example check form.

1. Make your purchase order as usual and call or Email to E.S.A. (P O # must be Faxed or Emailed to E.S.A.) mark P.O. " DRAFT PAYMENT AUTHORIZED "

2. E.S.A. will confirm order, including freight (if applicable) & Email or Fax back to you.

3. Provide bank payment info to E.S.A. (form included for this procedure.) & Email or verbally give to E.S.A.

4. Keep original checks attached to your P.O./ make note that E.S.A. will draft that amount from your account

5. E.S.A. will print draft. A copy of the draft will be either faxed, emailed or mailed to you to confirm transaction and deposited and goods will be shipped.

6. Recurring transactions, after first time use, put on purchase order " DRAFT PAYMENT AUTHORIZED " assuming that bank information has not changed. If changed please supply new bank info on example check form.

We will ONLY DRAFT the amount of your invoice from the bank & account you specify. Make copies of the form provided for your use. You may use this form to Fax or  Email payment info to us.

Sincerely,

Jim Daigle

Jim Daigle, mrfoil
Energy Savers of America

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(1) Name or Company Name on Check________________________________________________________

(2) Mailing Address ______________________________________________________________

(3) City______________________________________State________________Zip_________________

Phone # ________________________Fax # __________________Email address______________________

(2) Shipping Address ______________________________________________________________

(3) City______________________________________State______________Zip_________________

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(4) Bank Name____________________________________________________________________________

(5) Bank Street Address _____________________________________________________________________

(5a) Bank Address ( City )______________________________( State )_________( Zip )________________

(5b) Bank Area Code and Phone Number (______)_______________(6) Check Number__________________________

(7) A.B.A. Number __________( Usually 2 digits: in example would be " 70 " )

(8) Amount of Check ____________________________________________________________________

(9) This check is for _____________________________( invoice # or your P.O. # or material description )

(10) Authorization______________________________(Person authorized to give check info & sign check)

(11) Transit Number ________________________________( ALWAYS 9 DIGITS )

(12) Account Number ___________________________________________________

By completing and faxing or emailing this form to Energy $aver$ of America you are authorizing payment for goods and / or services due E.S.A. Payment will be made be BANK DRAFT from the bank and the account you specify and ONLY for the amount of payment YOU authorize. The amount authorized is the full amount due to E.S.A. for such goods and / or services as indicated by INVOICE (S) to you from E.S.A. Such invoice number should be recorded on # (9) above. E.S.A. WILL NOT draft your account without this authorization, nor will E.S.A. ship any goods without this authorization, unless other payment arrangements have been made and approved by E.S.A.