AUTHORIZATION AGREEMENT FOR AUTOMATIC DEBITS …

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March 23, 2017AUTHORIZATION AGREEMENT FOR AUTOMATIC DEBITS (ACH DEBITS )COMPANY NAME____________________________________ _______________I (we) hereby authorize McClelland and Hine Inc., hereinafter called MHI, to initiate authorized debit entries and to initiate, if necessary, authorized credit entries and adjustments for debit entries in error to my (our) checking account indicated below at the depository named below, hereafter called DEPOSITORY, to debit and/or credit the same to such BRANCH __________________________CITY__________ _________________ STATE________________ ZIP _____________TRANSIT/ABA ACCOUNT NO. ________________This authority is to remain in full force and effect for the Depository information above only until MHI has received written notification from me (or either of us) of its termination in such time and in such manner asto afford MHI and Depository a reasonable opportunity to act on AUTHORIZATION AGREEMENT is to establish my (our) Depository information above with MHI.

AUTHORIZATION AGREEMENT FOR AUTOMATIC DEBITS (ACH DEBITS) ... This Authorization agreement is to establish my (our) Depository information above with MHI. At no time does MHI have authorization to debit and/or credit my (our) checking account without my (our)

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