AUTHORITY AND CONSENT TO PROVIDE PAYMENT INFORMATION

I/We authorize Filter Group, DBA Home Water (“Home Water”), and the credit card/financial institution designated (or any credit card/financial institution I/we may authorize at any time) to begin deductions as per my/our instructions for monthly regular recurring payments and/or one-time payments from time to time, for payment of all charges arising under my/our Home Water account(s). Regular monthly payments for the full amount of services delivered will be debited to my/our specific account. This authority is to remain in effect until Home Water has received written information from me/us of its charge or termination. This notification must be received at least three (3) business days before the next debit is scheduled at the address provided below.

Home Water may not assign this authorization, whether directly or indirectly, by operation of law, change of control, or otherwise, without providing at least ten (10) days prior written notice to me/us.

I hereby consent to Home Water or its authorized outside agencies to access, use and update information about my credit, financial and related personal or business information (including a consumer or credit bureau report) from any credit bureau/reporting agency from time to time. I understand that Home Water may disclose my credit and personal information to its lenders, affiliates, partners, and or assignees for the purpose of managing its payment risk and as required by law.

I hereby waive my right to receive pre-notification of the charge amount and agree that I do not require advance notice of the amount before the payment is processed.