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Get Authorization For Debit & Credit EFT.doc. Form C I SUBPOENA IN TERMS OF SECTION 9(2) OF THE

Employer and/or Third Party Name: Street Address: City, State, Zip: Telephone: INTERCEPT CORPORATION 1700 42nd St. S, Suite 2000 Fargo, ND 58103 800 378-3328 / 701 241-7832 Fax: 701 241-9930 Authorization.

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