I authorize CareFamily to debit the bank account or credit card specified in my CareFamily account for recurring payments of variable amounts on a weekly basis on an open-ended basis until care is terminated and/or all payments have been made in full. These payments are for care services and the invoice amounts reflect hours logged by my caregiver(s). I understand that returns, refunds, and cancellations are not applicable. I understand that this authorization will remain in effect until I cancel it in writing. I agree to notify CareFamily.com in writing of any changes in my account information or termination of this authorization at least 15 days prior to the next billing date. If any scheduled payment date falls on a weekend or holiday, I understand that the payment may be executed on the next or prior business day. I understand that because this is an electronic transaction, these funds may be withdrawn from my account each period as soon as the above noted transaction date.

In the case of an ACH transaction being rejected for Non Sufficient Funds (NSF), I understand that CareFamily may at its discretion attempt to process the charge again within 30 days, and agree to an additional $25 charge for each attempt returned NSF which will be initiated as a separate transaction from the authorized recurring payment. I acknowledge that the origination of ACH transactions to my account must comply with the provisions of U.S. law. I certify that I am an authorized user of this credit card or bank account, and that I will not dispute the payment with my credit card company or bank, so long as the transaction corresponds to the terms indicated in this web form.

I acknowledge that for any questions or communications regarding these payments, I may contact CareFamily at 240 Clearfield Avenue, Suite 300, Virginia Beach, VA 23462 by phone at (877) 444-4112 or by email at payments@carefamily.com.