ACH Payment Authorization Form

I authorize WVSSPA (West Virginia School Service Personnel Association) to charge my account the amount and frequency specified above as payment on my annual WVSSPA membership dues. Dues amounts may change with a vote of the WVSSPA delegation in accordance with the WVSSPA Constitution. I agree to notify WVSSPA in writing of any changes in my account information or termination of this authorization 15 days prior to the next due date of the charges. I understand that all changes must be in writing and this will be a recurring payment.