Autorenew Agreement
AUTO RENEW PAYMENT PROGRAM AGREEMENT
By electing to enroll in the Auto Renew Payment Program, or as a once-per-year automatic payment of membership dues and/or voluntary dues items, I am thereby agreeing to allow an automatic renewal of my membership in future years. This includes the same terms and conditions as detailed above for the Authorization Agreement. In lieu of receiving a dues statement in future years, I understand I will receive an auto-renewal letter providing information on next year’s membership dues rates and/or voluntary items that I have elected to be enrolled in the Auto Renew Payment Program, and how I can change voluntary contributions or stop the auto renew feature. I agree to provide notice of cancellation of the auto renew payment plan for the proceeding membership year by December 15 by contacting IDA at 800-562-5646. There will be a $25 convenience fee for credit card payments.
AUTO RENEW AUTHORIZATION AGREEMENT
I authorize the Indiana Dental Association, an Indiana non-for-profit corporation, to initiate automated debits to the credit card provided. This authorization includes all adjusting entries, either debit or credit, that may be required. I understand a $25 convenience fee will be charged for credit card payment.
I agree to pay all such Dues amounts owed and designed by me. If, for any reason, my credit card is revoked, suspended, halted by me or the debit cannot be processed for any other reason, I remain responsible for paying the Dues installment owed directly to IDA on a timely basis. If a debit cannot be processed, IDA and/or ADA is authorized to attempt to initiate the debit again at a later time. If, for any reason, a debit is repeatedly dishonored. IDA and/or ADA is not liable for any losses incurred by reason of any failure in the automated debit process. I am responsible for any fees that may be imposed by bank. If my payment cannot be processed on any two debit dates, IDA and/or ADA may terminate the automated debits by giving me written notice at my address as shown in IDA’s records. My membership shall not be considered in good standing until all past Dues amounts owed are considered current.
I may terminate automated debits by notifying IDA by calling 800-562-5646. The termination will be effective for the following membership year provided the cancellation is received by IDA by December 15 of the current membership year. Following any termination of automated debits by either IDA or me, I will be responsible for paying my remaining and recurring Dues in full, directly to IDA.
No refunds will be provided for canceled memberships. By enrolling in a membership, I understand that a “membership year” spans a calendar year from January through December and not a twelve-month period from the date of enrollment. This authorization shall be governed by and interpreted in accordance with the laws of the State of Indiana, without giving effect to any choice of law rule that would cause the application of the laws of any other jurisdiction to the rights and duties of the parties.
* What does “tripartite” mean? The word “tripartite” means “composed of three parts.” The three parts of ADA membership—through your component (local) dental society, constituent (state, district or territory) dental society, and American Dental Association—complement each other. Each level offers valuable benefits and resources to members. Almost all U.S. dentists are tripartite members and they join and maintain their memberships through their constituent dental society.