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Authorization Agreement for Direct Payments

I (WE) hereby authorize – Tulsa Tech Education Foundation – , hereinafter called foundation to initiate debit entries to my (our) checking or savings account as indicated in the form below at the depository financial institution named below, hereinafter called DEPOSITORY, and to debit the same to such account in the amount indicated below once per month..

This authorization is to remain in full force and effective until Foundation has received written notification from me (or either of us) of its termination in such time and in such manner as to afford the Foundation and DEPOSITORY a reasonable opportunity to act on it.

NOTE: ALL WRITTEN DEBIT AUTHORIZATIONS MUST PROVIDE THAT THE RECEIVER MAY REVOKE THE AUTHORIZATION ONLY BY NOTIFYING THE ORIGINATOR IN THE MANNER SPECIFIED IN THE AUTHORIZATION.

For inquires or problems contact ACH@ttef.net

 

Debit Date

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