By checking this box, you authorize Kelsan to automatically draft your bank account for this one-time payment of your bill as indicated above. In the event Kelsan is unable to secure funds from your bank account for this transaction for any reason, including but not limited to insufficient funds in your bank account or insufficient or inaccurate information provided by you when submitting the electronic payment, further collection action may be undertaken by Kelsan including application of fees to the extent permitted by law. If you do not agree with these Terms and Conditions, do not check this box.