I authorize you and the financial institution listed below to initiate electronic entry from my Checking Account or Savings Account (select below). This authority will remain in effect until I have canceled it in writing.

The authorization is to remain in full force and effect until the Company has received written notification from me (or either of us) of its termination in such time and in such manner as to afford Company and Depository a reasonable opportunity to act on it. Requires 5 Business Days

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