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Get Authorization Agreement For Direct Deposit

After called COMPANY, to initiate entries to my (our) Checking account/ Savings account (check one) as indicated below at the depository financial institution named below, hereinafter called DEPOSITORY, and to credit the same to such account. I (we) acknowledge that the origination of ACH transactions to my(our) account must comply with the provisions of U.S. law. Depository Name Branch City.

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