AUTHORIZATION AGREEMENT FOR AUTOMATIC WITHDRAWAL OF FUNDSAuthorization Agreement for Automatic Withdrawal of Funds • December 12th, 2008
Contract Type FiledDecember 12th, 2008Date of first contribution: / / Frequency of contribution: (please check only one)❑ Weekly – Mondays❑ Semi-Monthly – 1st and 15th❑ Monthly on the 1st❑ Monthly on the 15th Contribution amount:$ Special Instructions: