ACH Authorization

Jack Rabbit Services, LLC

Voided Check or Bank Direct Deposit Form Required

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I hereby authorize Jack Rabbit Services, LLC, hereinafter called “Company”, to initiate credit entries to the account and financial institution indicated below. I acknowledge that the origination of ACH transactions to my account must comply with the provisions of U.S. law.

This authority is to remain in full force and effect until Company has received written notice from me of it’s terminated in such time and manner as to afford Company and my financial institution a reasonable opportunity to act on it.
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